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Individual
DR. QUINTON WAYNE GARDNER
Active
Individual
DR. QUINTON WAYNE GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D9119
OR
1223G0001X
General Practice Dentistry
D07791
AZ
1223G0001X
General Practice Dentistry
Primary
D7791
AZ
Other
Enumeration date
07/08/2008
Last updated
01/10/2020
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