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Haritha Durairaj, DDS

Dentist, General Practice in College Station, TX. Individual provider (NPI-1).

NPI number1164083036
StatusActive
Last updated in NPPESJun 21, 2019

Details

NPI
1164083036
Entity type
Individual (NPI-1)
Name
Haritha Durairaj
Credential
DDS
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 21, 2019
Last updated
Jun 21, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice35318TXYes

Practice location

1530 Texas Ave S Ste 300
College Station, TX 77840-3390

Phone 979-599-5544

Mailing address

2710 Talsworth Dr
College Station, TX 77845-7996

Phone 517-763-9938

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