Organization
DONALD G GARDNER DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD GEORGE GARDNER D.D.S. (DOCTOR)
(281) 491-4545
Entity
Organization
Contact information
Practice address
4915 S MAIN ST, SUITE 118, STAFFORD, TX 77477-4601
(281) 491-4545
(281) 491-7134
Mailing address
4915 S MAIN ST, SUITE 118, STAFFORD, TX 77477-4601
(281) 491-4545
(281) 491-7134
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
TX11037
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1108623-04
—
TX
05
—
1544389-01
—
TX
Enumeration date
06/13/2008
Last updated
06/17/2008
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