Individual
DR. SHAHRZAD ORENDUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
520 N 12TH ST, RICHMOND, VA 23298-5064
(804) 828-9190
Mailing address
5000 LIBBIE MILL EAST BLVD APT 173, RICHMOND, VA 23230-2115
(757) 810-0373
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901022515
MI
1223G0001X
General Practice Dentistry
Primary
0401417708
VA
1223G0001X
General Practice Dentistry
9775
NC
Other
Enumeration date
06/10/2014
Last updated
12/15/2021
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