Individual
DR. BRANDON P HARDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
510 E LEE ST, ENTERPRISE, AL 36330-2031
(334) 475-2624
Mailing address
510 E LEE ST, ENTERPRISE, AL 36330-2031
(334) 475-2624
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D.007352-C1
AL
Other
Enumeration date
05/23/2023
Last updated
07/23/2024
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