TINA BRODERICK, RDH

Dental Hygienist

Active Individual
NPI: 1063085413

Practice Address

6401 S RICHARDS AVE
Santa Fe, NM 87508

Phone: (505) 984-5048

Specialties

Specialty Code Primary License
Dental Hygienist 124Q00000X Yes DH1049 (NM)

Frequently Asked Questions

NPI 1063085413 is the National Provider Identifier for TINA BRODERICK, RDH, a Dental Hygienist provider located in Santa Fe, NM. This NPI was enumerated on July 22, 2021.
TINA BRODERICK, RDH practices at 6401 S RICHARDS AVE, Santa Fe, NM 87508.

Quick Facts

NPI
1063085413
Type
Individual
Enumerated
Jul 22, 2021
Last Updated
Jul 22, 2021

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