Randa Shakashiro

NPI #1154599439 in Woodbridge, Virginia

Provider Information

NPI Number: 1154599439
Entity Type: Individual
Name: Randa Shakashiro
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Feb 20, 2008
Last Updated: Feb 20, 2008

Practice Location

Address: 12701 MARBLESTONE DR
Address 2: 260
City: Woodbridge
State: Virginia
ZIP Code: 22192-8307
Phone: (703) 670-2114

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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