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DR. ALBERT S HARDY DMD

Oral and Maxillofacial Surgery

Colchester, Vermont

Provider NPI: 1902902646

Provider Information:
DR. ALBERT S HARDY DMD
Gender: M
Sole Proprietor


Practice Location:
792 COLLEGE PKWY SUITE 307 COLCHESTER, VT 05446 US
Tel: 802-655-5090  Fax: 802-655-9366

Business Mailing Address:
792 COLLEGE PKWY SUITE 307 COLCHESTER, VT 05446 US
Tel: 802-655-5090  Fax: 802-655-9366

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223S0112XDental Providers
Dentist
Oral and Maxillofacial Surgery
VT016-0001123

Other Provider Identifiers:

IssuerNumberStateType
1003069VT05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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