Rob Hardwick, D.d.s. | |
194 N. Portland St. Republic WA 99166-0978 | |
(509) 775-3169 | |
(509) 775-2272 |
Full Name | Rob Hardwick, D.d.s. |
---|---|
Speciality | Dentist |
Location | 194 N. Portland St., Republic, Washington |
Authorized Official Name and Position | Robert W. Hardwick (OWNER/DENTIST) |
Authorized Official Contact | 5097753169 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Rob Hardwick, D.d.s. Po Box 978 Republic WA 99166-0978 Ph: (509) 775-3169 | Rob Hardwick, D.d.s. 194 N. Portland St. Republic WA 99166-0978 Ph: (509) 775-3169 |
NPI Number | 1164749396 |
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Provider Enumeration Date | 04/28/2010 |
Last Update Date | 04/28/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164749396 | NPI | - | NPPES |
5027230 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 5070 (Washington) | Primary |