Provider Demographics
NPI:1710324033
Name:RAZDAN, SHINJNI (DDS)
Entity Type:Individual
Prefix:
First Name:SHINJNI
Middle Name:
Last Name:RAZDAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2843 HARTLAND RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22043-3535
Mailing Address - Country:US
Mailing Address - Phone:703-849-1300
Mailing Address - Fax:
Practice Address - Street 1:2843 HARTLAND RD
Practice Address - Street 2:SUITE 200
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22043-3535
Practice Address - Country:US
Practice Address - Phone:703-849-1300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-28
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014144051223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry