Lawrence Jeremy Gardner, D.D.S.
NPI #1659443273 in Manasquan, New Jersey
Provider Information
- NPI Number
- 1659443273
- Entity Type
- Individual
- Name
- Lawrence Jeremy Gardner, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Nov 15, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 130 UNION AVE
- City
- Manasquan
- State
- New Jersey
- ZIP Code
- 08736-3636
- Phone
- (732) 528-7422
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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