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Organization
ROBERT E. GARDNER D.D.S., P.A.
Active
Organization
ROBERT E. GARDNER D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT E. GARDNER D.D.S. (PRESIDENT)
(870) 886-2492
Entity
Organization
Contact information
Practice address
1121 W MAIN ST, WALNUT RIDGE, AR 72476-1000
(870) 886-2492
Mailing address
1121 W MAIN ST, WALNUT RIDGE, AR 72476-1000
(870) 886-2492
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2386
AR
Other
Enumeration date
07/05/2008
Last updated
07/05/2008
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