Tom Douglas Hardy DDS

NPI 1982809018 - Dentist - 1223G0001X

NPI Details
NPI 1982809018
Gender Male
Enumeration Date 06/19/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
6004 WATERWAY LANE
INDIAN RIVER MI, 49749-0780, US
Phone (231) 238-9375
Fax
Business Location
PO BOX 780
6004 WATERWAY LANE
INDIAN RIVER MI, 49749-0780, US
Phone (231) 238-9375
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Michigan
License Number 011060
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According to our database, Tom Douglas Hardy DDS NPI is 1982809018, taxonomy code is 1223G0001X and license number is 011060, license state is located at Michigan. Tom Douglas Hardy DDS physically located at 6004 Waterway Lane, Indian River MI, 49749-0780. NPI Number Tom Douglas Hardy DDS has the Individual type.

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1982809018 NPI number is provided on an as is basis without warranty of any kind. 1982809018 is maintained by the National Plan & Provider Enumeration System. The contents of Tom Douglas Hardy DDS are for informational purposes only.