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Organization
H. LEE GARDNER, JR. DMD, PC
Active
Organization
H. LEE GARDNER, JR. DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARRELL LEE GARDNER JR. DMD (DENTIST)
(843) 383-4562
Entity
Organization
Contact information
Practice address
509 E LYDIA HWY, HARTSVILLE, SC 29550-6309
(843) 383-4562
(843) 332-9701
Mailing address
509 E LYDIA HWY, HARTSVILLE, SC 29550-6309
(843) 383-4562
(843) 332-9701
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1800
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z18008
—
SC
Enumeration date
01/02/2007
Last updated
08/29/2010
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