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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