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Individual

ROBERT B HARDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1722 WYLDS RD, AUGUSTA, GA 30909-4353
(706) 736-1135
(706) 736-1186
Mailing address
2825 WASHINGTON RD, SUITE M2, AUGUSTA, GA 30909-2119
(706) 736-1135
(706) 736-1186

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012913
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003141021A
GA
05
793669595A
GA
05
9180179
GA
Enumeration date
02/21/2006
Last updated
08/12/2020
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