Organization
H. LEE GARDNER, JR. DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARRELL LEE GARDNER JR. DMD (DENTIST)
(843) 383-4562
Entity
Organization
Contact information
Practice address
509 E LYDIA HWY, HARTSVILLE, SC 29550-6309
(843) 383-4562
(843) 332-9701
Mailing address
509 E LYDIA HWY, HARTSVILLE, SC 29550-6309
(843) 383-4562
(843) 332-9701
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1800
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z18008
—
SC
Enumeration date
01/02/2007
Last updated
08/29/2010
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