DR. Timothy Gerald Hardtke, DDS

NPI #1548389422 in Edgewood, Washington

Provider Information

NPI Number: 1548389422
Entity Type: Individual
Name: DR. Timothy Gerald Hardtke, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Mar 29, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2222 MERIDIAN AVE E
Address 2: SUITE C
City: Edgewood
State: Washington
ZIP Code: 98371-1032
Phone: (253) 952-6112

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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