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Individual

HARIKA CHADIVE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
5 SHINING WILLOW WAY, LA PLATA, MD 20646-4214
(301) 719-3533
Mailing address
1515 N QUEEN ST UNIT 508, ARLINGTON, VA 22209-3912

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
0401416958
VA
122300000X
Dentist
060779
NY
122300000X
Dentist
Primary
16980
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1144726720
MD
Enumeration date
04/03/2018
Last updated
12/29/2021
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