Provider Demographics
NPI:1326408725
Name:QUADRI, HARIS (RDH)
Entity Type:Individual
Prefix:MR
First Name:HARIS
Middle Name:
Last Name:QUADRI
Suffix:
Gender:M
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24914 TX-249
Mailing Address - Street 2:SUITE 102
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375
Mailing Address - Country:US
Mailing Address - Phone:281-873-6942
Mailing Address - Fax:
Practice Address - Street 1:24914 TOMBALL PKWY
Practice Address - Street 2:SUITE 102
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-7690
Practice Address - Country:US
Practice Address - Phone:281-873-6942
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-26
Last Update Date:2016-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15633124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist