Individual
KENNETH EVAN HARDY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1622 HOLLAND RD, SUFFOLK, VA 23434
(757) 539-2998
(757) 539-0969
Mailing address
1622 HOLLAND RD, SUFFOLK, VA 23434
(757) 539-2998
(757) 539-0969
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
05324
VA
Other
Enumeration date
04/03/2006
Last updated
07/08/2007
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