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NPI Code Detail

MEDICARE: MRS. HARINI DHARMAGADDA RDH

MEDICARE: MRS. HARINI DHARMAGADDA 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
1124Q00000XDental HygienistDH4409NM

General Provider Information

NPI Number : 1801300660
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HARINI DHARMAGADDA RDH
Provider Business Mailing Address
First Line : 6401 S RICHARDS AVE
Second Line :
City : SANTA FE
State : NM
Zip : 87508-4887
Country : US
Telephone Number : 505-984-5048
Fax Number :
Provider Business Practice Location Address
First Line : 6401 S RICHARDS AVE
Second Line :
City : SANTA FE
State : NM
Zip : 87508-4887
Country : US
Telephone Number : 505-984-5048
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2017
Last Update Date : 11/30/2017

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