Individual
DR. GRANT MICHAEL HARDISTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
924 WILLIAMS PARK DR, BEDFORD, IN 47421-6713
(812) 279-2022
(812) 277-9915
Mailing address
1377 ESTUARY DR, INDIANAPOLIS, IN 46217-5267
(317) 937-2661
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012807A
IN
Other
Enumeration date
08/20/2017
Last updated
08/20/2017
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