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Organization
THAYNE GARDNER DDS, PLLC
Active
Organization
THAYNE GARDNER DDS, PLLC
Active
Other names
Little People's Dental
Organization subpart
No
Provider details
NPI number
Authorized official
THAYNE GARDNER DDS (DENTIST/OWNER)
(801) 446-8007
Entity
Organization
Contact information
Practice address
1268 W SOUTH JORDAN PKWY STE 101, SOUTH JORDAN, UT 84095-4653
(801) 446-8007
(801) 676-1030
Mailing address
1268 W SOUTH JORDAN PKWY STE 101, SOUTH JORDAN, UT 84095-4653
(801) 446-8007
(801) 676-1030
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
NULL
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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