Individual
RANDY CHAIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1630 RIVERTON RD, CINNAMINSON, NJ 08077-2343
(856) 786-2020
Mailing address
1630 RIVERTON RD, CINNAMINSON, NJ 08077-2343
(856) 786-2020
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI03026600
NJ
Other
Enumeration date
06/28/2023
Last updated
03/04/2025
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