Ronald E Gardner DDS LLC

NPI #1871990119 in Boulder City, Nevada

Provider Information

NPI Number: 1871990119
Entity Type: Organization
Organization Name: Ronald E Gardner DDS LLC
Primary Specialty: Dentist
Enumeration Date: Dec 2, 2014
Last Updated: Dec 2, 2014

Practice Location

Address: 1631 NEVADA HWY
City: Boulder City
State: Nevada
ZIP Code: 89005-1908
Phone: (702) 293-2436

Authorized Official

Name: ROCKO GRAZIANO
Title: MANAGER
Phone: (702) 293-2436

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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