Individual
MR. ROBERT WALTER HARDWICK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
194 NORTH PORTLAND ST., REPUBLIC, WA 99166
(509) 775-3169
(509) 775-2272
Mailing address
PO BOX 978, REPUBLIC, WA 99166
(509) 775-3169
(509) 775-2272
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5070
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5027230
—
WA
Enumeration date
05/02/2007
Last updated
04/28/2010
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