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Organization

TREVOR K. GARDNER DMD LLC

Active
Other names
Sage Hills Dental
Organization subpart
No

Provider details

NPI number
Authorized official
TREVOR K GARDNER DMD (OWNER)
(307) 578-6552
Entity
Organization

Contact information

Practice address
175 N BERNARD ST, POWELL, WY 82435-2617
(307) 754-3391
Mailing address
175 N BERNARD ST, POWELL, WY 82435-2617
(307) 754-3391

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
06/15/2023
Last updated
06/15/2023
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