Individual
DR. WILLIAM GRAHAM GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1206 WILLOW LAWN DR, RICHMOND, VA 23226-1409
(804) 282-6436
(804) 282-8297
Mailing address
1206 WILLOW LAWN DR, RICHMOND, VA 23226-1409
(804) 282-6436
(804) 282-8297
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401008926
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9178639
—
VA
01
—
9180199
DORAL SMILES FOR CHILDREN
VA
Enumeration date
05/01/2008
Last updated
05/01/2008
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