# MICHAEL B GARDNER PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** All Smiles Kilgore
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912271420
- **Authorized official:** MICHAEL GARDNER DDS (PRESIDENT)
- **Authorized official phone:** (903) 984-1108

## Contact information

- **Practice address:** 1806 BROADWAY BLVD, KILGORE, TX 75662-3520
- **Practice address phone:** (903) 984-1108
- **Mailing address:** 1806 BROADWAY BLVD, KILGORE, TX 75662-3520
- **Mailing address phone:** (903) 984-1108

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 25450 | TX | Yes |

## Other

- **Enumeration date:** 03/01/2012
- **Last updated:** 03/01/2012