Randolph, Renita Walden
Randolph, Renita Walden is an individual health care provider with primary practice located at 11551 Nuckols Rd Suite A, Glen Allen VA 23059-5565. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Randolph, Renita Walden can be contacted via phone (804) 273-6818.Contact Information
Primary practice address
11551 Nuckols Rd Suite A
Glen Allen VA 23059-5565
Phone: (804) 273-6818
Fax: (804) 273-0347
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 0401007596 | Virginia |
Profile Details
| NPI number | 1851422331 |
|---|---|
| LBN Legal business name | Randolph, Renita Walden |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2007 |
| 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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