Randazzo, Kelly Elaine

Randazzo, Kelly Elaine is an individual health care provider with primary practice located at 12654 Nottingham Dr , Rancho Cucamonga CA 91739-9168. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Randazzo, Kelly Elaine can be contacted via phone (909) 210-4597.

Contact Information

Primary practice address
12654 Nottingham Dr Rancho Cucamonga CA 91739-9168
Phone: (909) 210-4597
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X RDHAP 394 California

Profile Details

NPI number 1407105760
LBN Legal business name Randazzo, Kelly Elaine
Credentials R.D.H.A.P
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2012
Last updated Sep 2nd, 2012 - about 13 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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