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Organization
JON L HARDINGER
Active
Organization
JON L HARDINGER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON LINCOLN HARDINGER DDS (OWNER)
(641) 423-6172
Entity
Organization
Contact information
Practice address
1339 6TH ST SW, MASON CITY, IA 50401-4815
(641) 423-6172
(641) 423-6248
Mailing address
1339 6TH ST SW, MASON CITY, IA 50401-4815
(641) 423-6172
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6432
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0164301
—
IA
Enumeration date
05/19/2008
Last updated
05/19/2008
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