Individual
DR. GARRETT HEATH HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DE60983030
Contact information
Practice address
510 ALLEN ST, KELSO, WA 98626-4139
(630) 501-9736
(360) 636-0052
Mailing address
510 ALLEN ST, KELSO, WA 98626-4139
(630) 501-9736
(360) 636-0052
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60983030
WA
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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