Individual
DR. ROGER HALL HARKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
111 RIVIERA DR, PASADENA, MD 21122-2822
(410) 255-4397
(410) 255-4397
Mailing address
1111 E WHEEL RD, BEL AIR, MD 21015-6359
(443) 371-7679
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5646
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5646
STATE LICENSE
MD
Enumeration date
08/12/2006
Last updated
02/16/2016
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