Individual
BENJAMIN DALE HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1 FREEDOM WAY, AUGUSTA, GA 30904-6258
(706) 733-0188
Mailing address
904 AMHERST DR, NORTH AUGUSTA, SC 29841-3201
(864) 318-3027
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DGD.10827
SC
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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