Organization
GARDNER WADE D.D.S. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEX GARDNER WADE DDS (DENTIST)
(917) 657-5233
Entity
Organization
Contact information
Practice address
9828 BLUEBONNET BLVD, SUITE D, BATON ROUGE, LA 70810-6461
(225) 752-3407
Mailing address
560 W 43RD ST, APT. 35C, NEW YORK, NY 10036-4300
(917) 657-5233
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5527
LA
Other
Enumeration date
02/16/2007
Last updated
08/22/2020
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