Organization
HARDY PEDIATRIC DENTISTRY AND ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAMRATA GUPTE HARDY DMD (PRESIDENT)
(720) 308-1424
Entity
Organization
Contact information
Practice address
3200 VILLAGE VISTA DR, SUITE B, ERIE, CO 80516-2521
(720) 308-1424
Mailing address
3200 VILLAGE VISTA DR, SUITE B, ERIE, CO 80516-2521
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DEN.00202275
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DEN.00202275
DENTAL LICENSE
CO
Enumeration date
04/26/2016
Last updated
04/26/2016
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