Organization
RANDALL I. FURMAN, DDS, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL I FURMAN DDS (OWNER/DENTIST)
(757) 468-4684
Entity
Organization
Contact information
Practice address
879 LYNNHAVEN PKWY, SUITE 109, VIRGINIA BEACH, VA 23452-7270
(757) 468-4684
(757) 689-2615
Mailing address
879 LYNNHAVEN PKWY, SUITE 109, VIRGINIA BEACH, VA 23452-7270
(757) 468-4684
(757) 689-2615
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401005228
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
542394
—
VA
Enumeration date
08/24/2016
Last updated
08/24/2016
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