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Organization
GARDNER DENTAL CORPORATION
Active
Organization
GARDNER DENTAL CORPORATION
Active
Other names
Euclid Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DEAN GARDNER DDS (PRESIDENT)
(909) 983-9639
Entity
Organization
Contact information
Practice address
211 N EUCLID AVE, ONTARIO, CA 91762-3512
(909) 983-9639
(909) 983-1939
Mailing address
211 N EUCLID AVE, ONTARIO, CA 91762-3512
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
61418
CA
Other
Enumeration date
03/26/2017
Last updated
03/26/2017
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