Provider Demographics
NPI:1093326001
Name:INGEBURG HARDY DDS PROF CORP
Entity Type:Organization
Organization Name:INGEBURG HARDY DDS PROF CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:INGEBURG
Authorized Official - Middle Name:
Authorized Official - Last Name:HARDY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:831-649-4200
Mailing Address - Street 1:335 EL DORADO ST STE 1
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-4624
Mailing Address - Country:US
Mailing Address - Phone:831-649-4200
Mailing Address - Fax:831-649-4200
Practice Address - Street 1:335 EL DORADO ST STE 1
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-4624
Practice Address - Country:US
Practice Address - Phone:831-649-4200
Practice Address - Fax:831-649-4200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-13
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental