| Hardie Dentistry For Kids | |
|
925 Ne 136th Ave Suite 101 Vancouver WA 98684-0896 | |
| (360) 694-5559 | |
| (360) 694-5557 |
| Full Name | Hardie Dentistry For Kids |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 925 Ne 136th Ave, Vancouver, Washington |
| Authorized Official Name and Position | Willie M Hardie (PEDIATRIC DENTIST/ OWNER) |
| Authorized Official Contact | 3602414361 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hardie Dentistry For Kids 12800 Ne 4th St Apt 58 Vancouver WA 98684-5051 Ph: (360) 241-4361 | Hardie Dentistry For Kids 925 Ne 136th Ave Suite 101 Vancouver WA 98684-0896 Ph: (360) 694-5559 |
| NPI Number | 1538480215 |
|---|---|
| Provider Enumeration Date | 06/17/2010 |
| Last Update Date | 06/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538480215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DE00008741 (Washington) | Primary |
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