Individual
DR. RANDY J PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1001 SHADOW LN, LAS VEGAS, NV 89106-4124
(702) 774-2582
Mailing address
1001 SHADOW LN, LAS VEGAS, NV 89106-4124
(702) 774-2582
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
LL-334-12
NV
Other
Enumeration date
04/03/2013
Last updated
04/03/2013
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