Individual
DR. JORDAN LOUISE GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
10700 FRANCE AVE S STE 102, BLOOMINGTON, MN 55431-3693
(952) 679-3531
Mailing address
2215 22ND AVE S APT 1, MINNEAPOLIS, MN 55404-3131
(507) 676-5675
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D14899
MN
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
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