VALLEY PEDIATRIC DENTISTS P.C.
Dentist in Mesa, AZ

License number
Arizona D3911
Category
Dentist
Type
Pediatric Dentistry
Owner
Name: DR. RANDALL KEITH LOUT DDS MS
Title: PRESIDENT
Phone: (480) 396-3660
Address
Address
6239 E Brown Rd Suite #102, Mesa, AZ 85205
National Provider ID: 1295948883
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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VALLEY PEDIATRIC DENTISTS, PC

6239 E Brown Rd #102, Mesa, AZ 85205

Industry:
Dentist's Office, Oral Surgeons, Pediatric Dentist
Doing business as:
Valley Pediatric Dentists<br>Valley Pediatrics Dentists
Registration:
Sep 1, 1988
Phone:
(480) 396-3660 (Phone)
Description:
There is 1 doctor at this site. Surgery is not performed at this site.
State ID:
-0207918-0
Expiration:
Perpetual
Family And General Dentistrys:
Randall K Lout (President, Family And General Dentistry, Owner), 6239 E Brown Rd #102, Mesa, AZ 85205 (Physical),Scott Wexler (Family And General Dentistry)
Agent:
Rtm Consulting Group Ltd,706 E Bell Rd #228, Phoenix, AZ 85022 (Physical)

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