Organization
DR. DOUGLAS R. HARTY DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS R. HARTY DDS (DENTIST)
(317) 881-1680
Entity
Organization
Contact information
Practice address
2801 FAIRVIEW PL, SUITE U, GREENWOOD, IN 46142-1310
(317) 881-1680
Mailing address
2801 FAIRVIEW PL, SUITE U, GREENWOOD, IN 46142-1310
(317) 881-1680
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8501
IN
Other
Enumeration date
04/11/2008
Last updated
04/11/2008
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