DR. Robert Edward Gardner, BS, DDS, FAGD
NPI #1932137387 in Walnut Ridge, Arkansas
Provider Information
- NPI Number
- 1932137387
- Entity Type
- Individual
- Name
- DR. Robert Edward Gardner, BS, DDS, FAGD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- BS, DDS, FAGD
- Enumeration Date
- Jun 28, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1121 W MAIN ST
- City
- Walnut Ridge
- State
- Arkansas
- ZIP Code
- 72476-1000
- Phone
- (870) 886-2492
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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