Nathan Gardner

NPI #1346092624 in Nampa, Idaho

Provider Information

NPI Number: 1346092624
Entity Type: Individual
Name: Nathan Gardner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Apr 2, 2024
Last Updated: May 30, 2024

Practice Location

Address: 2065 12TH AVE RD
City: Nampa
State: Idaho
ZIP Code: 83686-6311
Phone: (208) 466-3239

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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