Gardner Dental LLC

NPI #1538619515 in Winslow, Arizona

Provider Information

NPI Number: 1538619515
Entity Type: Organization
Organization Name: Gardner Dental LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Oct 13, 2016
Last Updated: Oct 13, 2016

Practice Location

Address: 321 W SECOND ST
City: Winslow
State: Arizona
ZIP Code: 86047-3406
Phone: (928) 289-4441

Authorized Official

Name: DR. BRENT JACOB GARDNER, DDS
Title: OWNER
Phone: (614) 254-3384

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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