Most Relevant Information
Provider Data
| NPI Number: | 1003229733 |
| Provider Name: | SHAHRZAD ORENDUFF D.D.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 2901022515 |
Most Important Dates
| Enumeration Date: | 06/10/2014 |
| Last Updated: | 12/15/2021 |
Provider Practice Location
520 N 12TH ST
RICHMOND
VA
232985064
Practice Location Phone/Fax
| Phone: | 8048289190 |
| Fax: |
Provider Mailing Location
5000 LIBBIE MILL EAST BLVD APT 173
RICHMOND
VA
232302115
Provider Mailing Phone/Fax
| Phone: | 7578100373 |
| Fax: |