Individual
JOHN D GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1210 WARD AVE, CARUTHERSVILLE, MO 63830
(573) 333-0505
(573) 333-0512
Mailing address
1210 WARD AVE, P.O. BOX 1120, CARUTHERSVILLE, MO 63830
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
MO13104
MO
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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