Individual
DR. EARL BRADEN GARD IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
475-750 RICE CANYON RD., SUSANVILLE, CA 96130
(530) 250-6944
Mailing address
65 N LASSEN ST UNIT 961, SUSANVILLE, CA 96130-2437
(702) 575-1709
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
100872
CA
122300000X
Dentist
5736
NV
122300000X
Dentist
D5523
AZ
Other
Enumeration date
07/17/2005
Last updated
07/10/2026
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