Individual
DR. WILLIAM GRAHAM GARDNER
Active
Individual
DR. WILLIAM GRAHAM GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
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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