Individual
MARTHA HARDAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
373 BOONE HEIGHTS DR, BOONE, NC 28607-4934
(828) 264-0110
(828) 264-5453
Mailing address
373 BOONE HEIGHTS DR, BOONE, NC 28607-4934
(828) 264-0110
(828) 264-5453
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
7984
NC
1223P0221X
Pediatric Dentistry
DN013173
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7984
LICENSE
NC
01
—
DN013173
LICENSE
—
Enumeration date
12/27/2006
Last updated
03/07/2023
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