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Individual

DR. RANDOLPH RICHARD STANTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-8335
Mailing address
2721 ELSON GREEN AVE, VIRGINIA BEACH, VA 23456-6706
(757) 287-9968

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
10549
MD
1223G0001X
General Practice Dentistry
Primary
DS027136L
PA

Other

Enumeration date
12/28/2005
Last updated
11/30/2022
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