Organization
GARDNER DENTISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON HAWORTH D.D.S. (OWNER/DENTIST)
(913) 710-4327
Entity
Organization
Contact information
Practice address
115 N MOONLIGHT RD, GARDNER, KS 66030-2505
(913) 856-7123
(913) 856-7121
Mailing address
115 N MOONLIGHT RD, GARDNER, KS 66030-2505
(913) 856-7123
(913) 856-7121
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
KS
Other
Enumeration date
12/09/2013
Last updated
03/10/2020
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