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Individual

DR. HARSHAVARDHAN GARLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2400 N GRIMES ST STE B8, HOBBS, NM 88240-2131
(575) 964-8700
(575) 964-8703
Mailing address
5017 W STEEL DRIVER RD, HOBBS, NM 88240-0850
(660) 541-0994

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
019-028787
IL
122300000X
Dentist
Primary
DD3956
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
94671583
NM
Enumeration date
07/25/2011
Last updated
03/17/2018
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