Lout, Randall Keith
Lout, Randall Keith is an individual health care provider with primary practice located at 6239 E Brown Rd Suite 102, Mesa AZ 85205-4933. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Lout, Randall Keith can be contacted via phone (480) 396-3660.Contact Information
Primary practice address
6239 E Brown Rd Suite 102
Mesa AZ 85205-4933
Phone: (480) 396-3660
Fax: (480) 396-3697
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 3911 | Arizona |
Profile Details
| NPI number | 1285697474 |
|---|---|
| LBN Legal business name | Lout, Randall Keith |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 9th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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