NPI 1063085413
Tina Andrea Broderick, RDH
Practice location
- Address
- 6401 S Richards Ave, Santa Fe, NM 87508-4887
- Phone
- (505) 984-5048
- Fax
- (505) 988-3246
- Mailing address
- PO Box 5395, Santa Fe, NM 87502-5395
Registered specialties (2)
Dental Hygienist
Primary
Dental Hygienist
Registry record
- NPI
- 1063085413
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 22 Jul 2021
- Record last updated
- 22 Jul 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.