Individual
DR. RYAN EUGENE GARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7219 N LITCHFIELD RD, GLENDALE LUKE AFB, AZ 85309-1529
(623) 856-7535
(623) 856-4379
Mailing address
56 MEDICAL GROUP, 7219 NORTH LITCHFIELD ROAD, LUKE AIR FORCE BASE, AZ 85309-1525
(623) 856-7535
(623) 856-4379
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901020507
MI
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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