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Individual

DR. CLIFFORD RICHARD RANDOL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D

Contact information

Practice address
4550 E THOMAS RD, PHOENIX, AZ 85018-7610
(541) 868-5887
Mailing address
3131 N 70TH ST APT 3025, SCOTTSDALE, AZ 85251-6395
(541) 868-5887

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D007995
AZ

Other

Enumeration date
02/16/2009
Last updated
06/22/2010
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