Provider Demographics
NPI:1144396078
Name:HARDER, RICHARD ALLEN JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:ALLEN
Last Name:HARDER
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4980 BARRANCA PARKWAY
Mailing Address - Street 2:SUITE 208
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92604-4629
Mailing Address - Country:US
Mailing Address - Phone:949-551-2313
Mailing Address - Fax:949-502-8743
Practice Address - Street 1:4980 BARRANCA PKWY
Practice Address - Street 2:SUITE 208
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92604-8645
Practice Address - Country:US
Practice Address - Phone:949-551-2313
Practice Address - Fax:949-502-8743
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA280001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice