Individual
DR. SCOTT R GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2065 12TH AVE RD, NAMPA, ID 83686-6311
(208) 466-3239
(208) 442-9541
Mailing address
2065 12TH AVE. RD, NAMPA, ID 83686
(208) 466-3239
(208) 442-9541
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-3527
ID
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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