Individual
DAVIS WAYNE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
70 E WINDSOR BLVD STE D, WINDSOR, VA 23487-9443
(804) 359-5733
(757) 242-6789
Mailing address
70 E WINDSOR BLVD STE D, WINDSOR, VA 23487-9443
(804) 359-5733
(757) 242-6789
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401412847
VA
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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