Individual
DR. GREGORY JAN GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1720 E 80TH ST, INDIANAPOLIS, IN 46240-2709
(317) 257-9389
(317) 253-6820
Mailing address
1720 E 80TH ST, INDIANAPOLIS, IN 46240-2709
(317) 257-9389
(317) 253-6820
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007551A
IN
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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