DR. Brent Jacob Gardner, DDS

NPI #1720497779 in Winslow, Arizona

Provider Information

NPI Number
1720497779
Entity Type
Individual
Name
DR. Brent Jacob Gardner, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Aug 4, 2014
Last Updated
Aug 4, 2014

Practice Location

Address
321 W SECOND ST
State
Arizona
ZIP Code
86047-3406
Phone
(614) 254-3384

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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