Broderick, Tina Andrea

Broderick, Tina Andrea is an individual health care provider with primary practice located at 6401 S Richards Ave , Santa Fe NM 87508-4887. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Broderick, Tina Andrea can be contacted via phone (505) 984-5048.

Contact Information

Primary practice address
6401 S Richards Ave Santa Fe NM 87508-4887
Phone: (505) 984-5048
Fax: (505) 988-3246
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X
Dental Providers / Dental Hygienist 124Q00000X DH1049 New Mexico

Profile Details

NPI number 1063085413
LBN Legal business name Broderick, Tina Andrea
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2021
Last updated Jul 22nd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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