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Individual

DR. STEPHEN L HARRINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1851 OLD HWY 66, SUITE C, EDGEWOOD, NM 87015
(505) 281-0373
Mailing address
PO BOX 2560, EDGEWOOD, NM 87015-2560
(505) 281-0373

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DD1580
NM
1223G0001X
General Practice Dentistry
Primary
DD3377
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1396870861
NPI
01
1710297486
NPI
Enumeration date
02/23/2007
Last updated
06/12/2018
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