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RANDOLPH PATTERSON PLATT DDS

>> Dentist >> Dental Providers

Registrant NPI Number: 1437222692

Individual Registrant:
 RANDOLPH PATTERSON PLATT DDS
Gender: M
Not Sole Proprietor

Location and contact information for practice:
100 N 13 W  ST JOHNS, AZ 85936 US
Tel: 928-337-2522  Fax: --

Contact information for business:
PO BOX 930  ST JOHNS, AZ 85936 US
Tel: 928-337-2522  Fax: 928-337-4881

Registration Information:
NPI: 1437222692
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
AZ2706

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS AZ - Page 1



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