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Organization

JANINE RANDAZZO, D.M.D., P.C.

Active
Other names
Janine Randazzo Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JANINE RANDAZZO D.M.D. (OWNER)
(804) 897-2900
Entity
Organization

Contact information

Practice address
2300 ROBIOUS STATION CIR, MIDLOTHIAN, VA 23113-2124
(804) 897-2900
Mailing address
2300 ROBIOUS STATION CIR, MIDLOTHIAN, VA 23113-2124
(804) 897-2900

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0401411243
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1740257039
NPI TYPE I
Enumeration date
06/11/2008
Last updated
12/17/2013
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