Individual
DR. DESIREE HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1 CHICAGO AVE, OAK PARK, IL 60302-2432
(708) 948-7744
Mailing address
347 W CHESTNUT ST UNIT 1909, CHICAGO, IL 60610-3030
(414) 416-5465
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.035004
IL
122300000X
Dentist
1001833-15
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2018
Last updated
10/18/2024
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