DR. Benjamin Lorenzo Gardea JR., D.M.D.

NPI #1417262247 in Safford, Arizona

Provider Information

NPI Number: 1417262247
Entity Type: Individual
Name: DR. Benjamin Lorenzo Gardea JR., D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Aug 17, 2010
Last Updated: Jul 1, 2011

Practice Location

Address: 2016 W 16TH ST
City: Safford
State: Arizona
ZIP Code: 85546-4026
Phone: (928) 428-1500

Specialties & Taxonomy Codes

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

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