Individual
DR. JEROME M GARDNER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
970 SUNRISE HWY, WEST BABYLON, NY 11704-6110
(631) 669-8855
(631) 669-3497
Mailing address
970 SUNRISE HWY, WEST BABYLON, NY 11704-6110
(631) 669-8855
(631) 669-3497
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
024454
NY
Other
Enumeration date
01/20/2006
Last updated
07/08/2007
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