Individual
CAITLIN RAE HARRAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
150 55TH ST, BROOKLYN, NY 11220-2508
(718) 630-6875
Mailing address
1342 WINDSOR POINT RD, NORFOLK, VA 23509-1312
(757) 831-9467
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401417957
VA
122300000X
Dentist
Primary
063847
NY
122300000X
Dentist
109285
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2022
Last updated
07/26/2024
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