MEDICARE: ALISHA CHRISTIAN RDH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	124Q00000X	Dental Hygienist	DH070677	PA
2	124Q00000X	Dental Hygienist	DH26143	FL

General Provider Information

NPI Number	:	1326748302
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISHA CHRISTIAN RDH

Provider Business Mailing Address
First Line	:	4105 JOHNSON DAIRY RD APT 662
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-6739
Country	:	US
Telephone Number	:	917-239-1563
Fax Number	:

Provider Business Practice Location Address
First Line	:	10625 N MILITARY TRL STE 201
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-6548
Country	:	US
Telephone Number	:	561-366-7303
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2023
Last Update Date	:	03/07/2023

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Directions to “ ALISHA CHRISTIAN RDH” Practice Location

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