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
Phone: (703) 670-2114
Fax: (703) 670-2934
Website:
Health care specialties
| Specialty | Code | License # | 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 17 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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