DR. Garrett Heath Hardy, DE60983030

NPI #1184270142 in Kelso, Washington

Provider Information

NPI Number: 1184270142
Entity Type: Individual
Name: DR. Garrett Heath Hardy, DE60983030
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DE60983030
Enumeration Date: Aug 15, 2019
Last Updated: Aug 15, 2019

Practice Location

Address: 510 ALLEN ST
City: Kelso
State: Washington
ZIP Code: 98626-4139
Phone: (630) 501-9736

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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