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Organization
POTOMAC ORAL AND MAXILLOFACIAL SURGERY DR WENDELL GARDNER PA
Active
Organization
POTOMAC ORAL AND MAXILLOFACIAL SURGERY DR WENDELL GARDNER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WENDELL GARDNER DDS (ORAL AND MAXILLOFACIAL SURGEON)
(615) 585-9364
Entity
Organization
Contact information
Practice address
3150 W WARD RD STE 306, DUNKIRK, MD 20754-3057
(410) 257-5333
(410) 257-2842
Mailing address
3150 W WARD RD STE 306, DUNKIRK, MD 20754-3057
(410) 257-5333
(410) 257-2842
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679626881
—
TN
05
—
1942407812
—
PA
Enumeration date
02/23/2023
Last updated
02/23/2023
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