person
Dr. Randall Keith Lout, DDS
Pediatric Dentist in Mesa, Arizona
NPI 1285697474

Randall Keith Lout is a Pediatric Dentist based in Mesa, AZ and is specialized in Pediatric Dentistry. Randall Keith Lout practices in Mesa, AZ and has the professional credentials of DDS. The NPI Number for Randall Keith Lout is 1285697474 and holds a License No. 3911 (Arizona).

The current practice location address for Randall Keith Lout is 6239 E Brown Rd, Mesa, AZ and can be reached out via phone at 480-396-3660 and via fax at 480-396-3697.

Location: 6239 E Brown Rd, Mesa, AZ, 85205-4933
person
Provider Profile Details
NPI Number
1285697474
Provider Name
Randall Keith Lout
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
6239 E Brown Rd, Mesa, AZ, 85205-4933
Phone Number
480-396-3660
Fax Number
480-396-3697
Provider Enumeration Date
04/09/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
6239 E Brown Rd
City
State
Zip
85205-4933
Phone Number
480-396-3660
Fax Number
480-396-3697
person
Provider Business Mailing Address Details
Address
6239 E Brown Rd
City
State
Zip
85205-4933
Phone Number
480-396-3660
Fax Number
480-396-3697
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
3911 (Arizona)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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