Individual provider · NPI-1
Kayla Marie Harder, RDH, DT
Dental Therapist · Savage, MN
NPI number1750896510
StatusActive
Last updated in NPPESJul 16, 2020
Details
- NPI
- 1750896510
- Entity type
- Individual (NPI-1)
- Name
- Kayla Marie Harder
- Credential
- RDH, DT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 2, 2017
- Certification date
- Jul 16, 2020
- Last updated
- Jul 16, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 125J00000X | Dental Therapist | DT74 | MN | Yes |
| 124Q00000X | Dental Hygienist | H8870 | MN |
Practice location
13899 Hwy 13 SSavage, MN 55378-2135
Phone 952-440-2292
Mailing address
13899 Highway 13 SSavage, MN 55378-2135
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