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Individual
MADANA HARVEY
Active
Individual
MADANA HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
64672
CA
1223G0001X
General Practice Dentistry
DD3551
NM
Other
Enumeration date
08/09/2011
Last updated
10/27/2015
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