John L Hardesty DDS INC

NPI #1164513818 in Burton, Ohio

Provider Information

NPI Number: 1164513818
Entity Type: Organization
Organization Name: John L Hardesty DDS INC
Primary Specialty: Dentist
Enumeration Date: Sep 27, 2006
Last Updated: Jul 22, 2008

Practice Location

Address: 14527 N CHESHIRE ST
City: Burton
State: Ohio
ZIP Code: 44021
Phone: (440) 834-4020

Authorized Official

Name: DR. JOHN L HARDESTY, DDS
Title: OFFICER
Phone: (440) 834-4020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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