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Individual

TATE JOHN HARDING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6900 FOREST AVE, RICHMOND, VA 23230-1729
(804) 893-8715
Mailing address
1432 KELLY CT, POCATELLO, ID 83201-8033
(208) 604-4598

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0442000513
VA

Other

Enumeration date
03/18/2024
Last updated
03/18/2024
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