Willie M Hardie DDS

NPI 1093891533 - Dentist - 1223P0221X

NPI Details
NPI 1093891533
Gender Male
Enumeration Date 10/27/2006
Last Updated 09/14/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
925 NE 136TH AVE
SUITE 101
VANCOUVER WA, 98684-0896, US
Phone (360) 694-5559
Fax (360) 891-0000
Business Location
925 NE 136TH AVE
SUITE 101
VANCOUVER WA, 98684-0896, US
Phone (360) 694-5559
Fax (360) 891-0000
Toxanomy
Taxonomy Code 1223P0221X
License State Washington
License Number DE00008741
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According to our database, Willie M Hardie DDS NPI is 1093891533, taxonomy code is 1223P0221X and license number is DE00008741, license state is located at Washington. Willie M Hardie DDS physically located at 925 Ne 136th Ave, Vancouver WA, 98684-0896. NPI Number Willie M Hardie DDS has the Individual type.

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1093891533 NPI number is provided on an as is basis without warranty of any kind. 1093891533 is maintained by the National Plan & Provider Enumeration System. The contents of Willie M Hardie DDS are for informational purposes only.