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Search › New Mexico › 124Q00000X

Tina Broderick, RDH

NPI 1063085413 · on the registry since 2021

Practice

Address
6401 S Richards Ave
Santa Fe, NM 87508
Phone
(505) 984-5048
Fax
(505) 988-3246
Organisation at this address
La Familia Medical Center
Santa Fe Community College Dental Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
124Q00000X
124Q00000X
Also registered as
124Q00000X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-07-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico