Individual
DR. DARREN WESLEY GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1675 N FREEDOM BLVD, STE 12A, PROVO, UT 84604-2540
(801) 374-8970
Mailing address
1675 N FREEDOM BLVD, STE 12A, PROVO, UT 84604-2540
(801) 374-8970
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5937654-9923
UT
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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