Individual
DR. RANDY T JOSEPHSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6301 4TH ST NW, ALBUQUERQUE, NM 87107-5860
(505) 345-0880
Mailing address
2125 GAZELLE RD NE, RIO RANCHO, NM 87124-6568
(505) 891-3277
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1281
NM
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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