Individual
MICHAEL THORNTON HARDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
11711 BOWMAN GREEN DR, RESTON, VA 20190-3501
(703) 435-0404
(703) 435-0867
Mailing address
11711 BOWMAN GREEN DR, RESTON, VA 20190-3501
(703) 435-0404
(703) 435-0867
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401004241
VA
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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