Individual
MR. DANIEL GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
504 WATER ST, MANISTEE, MI 49660-1544
(231) 723-7957
Mailing address
504 WATER ST, MANISTEE, MI 49660-1544
(231) 723-7957
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901022713
MI
Other
Enumeration date
07/25/2018
Last updated
07/25/2018
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