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:
Health care specialties
| Specialty | Code | License # | 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 5 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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