| NPI | 1063699767 |
|---|---|
| Former Legal Business Name | DR. ALBERT S. HARDY |
| Entity Type | Organization |
| Authorized Contact | LISA MARIE DIKE Practice Manager 802-655-5090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: VT 061-0001123) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: VT 016-0001123) |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2024-04-25 |