Organization
JESSICA L. HARDY, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH OSMUNDSON (OFFICE MANAGER)
(218) 236-1666
Entity
Organization
Contact information
Practice address
320 2ND AVE S, STE 106, MOORHEAD, MN 56560-2602
(218) 236-1666
Mailing address
320 2ND AVE S, STE 106, MOORHEAD, MN 56560-2602
(218) 236-1666
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D13580
MN
Other
Enumeration date
06/29/2015
Last updated
05/12/2016
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