Shakashiro, Randa

Shakashiro, Randa is an individual health care provider with primary practice located at 12701 Marblestone Dr 260, Woodbridge VA 22192-8307. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Shakashiro, Randa can be contacted via phone (703) 670-2114.

Contact Information

Primary practice address
12701 Marblestone Dr 260 Woodbridge VA 22192-8307
Fax: (703) 670-2934
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 0401411252 Virginia

Profile Details

NPI number 1154599439
LBN Legal business name Shakashiro, Randa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2008
Last updated Feb 20th, 2008 - about 16 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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