Individual
RANDY R. FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4350 E RAY RD, BUILDING 2 SUITE 110, PHOENIX, AZ 85044-4703
(480) 706-0777
(480) 706-0825
Mailing address
4350 E RAY RD, BUILDING 2 SUITE 110, PHOENIX, AZ 85044-4703
(480) 706-0777
(480) 706-0825
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
6988
AZ
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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