Organization
TOD M HARDIN, DMD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALETA BEUTER (CREDENTIALING SPECIALIST)
(775) 409-4614
Entity
Organization
Contact information
Practice address
12409 E MIRABEAU PKWY STE 200, SPOKANE VALLEY, WA 99216-5056
(509) 239-8710
Mailing address
3605 GRANT DR, RENO, NV 89509-5301
(775) 409-4614
(775) 409-4614
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053375089
INDIVIDUAL NPI
—
Enumeration date
08/23/2022
Last updated
08/23/2022
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