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Organization
REPUBLIC DENTAL CLINIC
Active
Organization
REPUBLIC DENTAL CLINIC
Active
Other names
Rob Hardwick, D.D.S.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT W. HARDWICK JR. D.D.S. (OWNER/DENTIST)
(509) 775-3169
Entity
Organization
Contact information
Practice address
194 N. PORTLAND ST., REPUBLIC, WA 99166-0978
(509) 775-3169
(509) 775-2272
Mailing address
PO BOX 978, REPUBLIC, WA 99166-0978
(509) 775-3169
(509) 775-2272
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5070
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5027230
—
WA
Enumeration date
04/28/2010
Last updated
04/28/2010
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