Timothy A. Gardner, D.M.D.

NPI #1245363100 in Midvale, Utah

Provider Information

NPI Number: 1245363100
Entity Type: Individual
Name: Timothy A. Gardner, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Mar 13, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 7001 S 900 E STE 130
City: Midvale
State: Utah
ZIP Code: 84047-1719
Phone: (801) 255-4421

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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