Individual
LUKE A. HARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1250 NE 3RD ST STE B105, BEND, OR 97701-3105
(541) 617-9736
Mailing address
1250 NE 3RD ST STE B105, BEND, OR 97701-3105
(541) 617-9736
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DEN4654
ME
1223E0200X
Endodontics
Primary
D11660
OR
1223E0200X
Endodontics
DEN4654
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/30/2018
Last updated
08/22/2022
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