Individual
JANINE RANDAZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
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
1223G0001X
General Practice Dentistry
Primary
0401411243
VA
1223G0001X
General Practice Dentistry
047961
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02667196
—
NY
01
—
9179573
DORAL
VA
Enumeration date
03/05/2006
Last updated
12/17/2013
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