Organization
DOUGLAS R HARTY, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS HARTY D.D.S. (PRESIDENT)
(317) 881-1680
Entity
Organization
Contact information
Practice address
2801 FAIRVIEW PL, GREENWOOD, IN 46142-1310
(317) 445-0718
(317) 881-0603
Mailing address
2801 FAIRVIEW PL, GREENWOOD, IN 46142-1310
(317) 445-0718
(317) 881-0603
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
54001739A
IN
Other
Enumeration date
06/11/2012
Last updated
06/11/2012
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