Organization
STEPHANIE J HARDWICK DDS INC
Active
Other names
Mt. Tam Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE JUNE HARDWICK DDS (PEDIATRIC DENTIST)
(415) 329-6780
Entity
Organization
Contact information
Practice address
770 TAMALPAIS DR STE 317, CORTE MADERA, CA 94925-1737
(775) 303-2282
Mailing address
267 CORTE MADERA AVE, CORTE MADERA, CA 94925-1306
(775) 303-2282
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881969517
NPI TY1
CA
Enumeration date
01/26/2021
Last updated
07/12/2021
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