Individual
DR. EDWARD D GARDNER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8133 FOREST HILL AVENUE, SUITE 201, RICHMOND, VA 23235
(804) 272-2010
(804) 330-4703
Mailing address
8133 FOREST HILL AVENUE, SUITE 201, RICHMOND, VA 23235
(804) 272-2010
(804) 330-4703
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401004634
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180686
WELLPOINT
VA
01
—
401660
UNITED CONCORDIA
VA
Enumeration date
12/14/2006
Last updated
07/08/2007
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