DR. Kevin Eugene Hardesty, DDS

NPI #1275619280 in Brookings, Oregon

Provider Information

NPI Number: 1275619280
Entity Type: Individual
Name: DR. Kevin Eugene Hardesty, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Oct 31, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 307 FERN AVE.
City: Brookings
State: Oregon
ZIP Code: 97415
Phone: (541) 412-3810

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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Organizations

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