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Individual

DR. JOHN ALLEN GARDNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1316 OLD 63 SOUTH, SUITE 201, COLUMBIA, MO 65201-6045
(573) 443-2544
(573) 815-0840
Mailing address
1316 OLD 63 SOUTH, SUITE 201, COLUMBIA, MO 65201-6045
(573) 443-2544
(573) 815-0840

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
10937
MO

Other

Enumeration date
01/26/2007
Last updated
06/11/2008
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