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Chad M Gardner DDS a Professional Dental Corporation

NPI #1124395389 in Bastrop, Louisiana

Provider Information

NPI Number
1124395389
Entity Type
Organization
Organization Name
Chad M Gardner DDS a Professional Dental Corporation
Primary Specialty
Dentist
Enumeration Date
Nov 16, 2011
Last Updated
Nov 16, 2011

Practice Location

Address
625 S WASHINGTON ST
City
Bastrop
State
Louisiana
ZIP Code
71220-5034
Phone
(318) 281-5972

Authorized Official

Name
DR. CHAD MARTIN GARDNER, DDS
Title
OWNER/DENTIST
Phone
(318) 281-5972

Specialties & Taxonomy Codes

Specialty
Dentist

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