Individual
DR. TIMOTHY C HARDY
Active
Individual
DR. TIMOTHY C HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DEN.00202076
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DEN.00202076
DENTAL LICENSE
CO
Enumeration date
08/12/2010
Last updated
02/16/2016
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