Individual
DANIEL PETER REARDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1270 SAGE ST, GERING, NE 69341-3228
(308) 436-3196
Mailing address
6755 ROAD 42, BAYARD, NE 69334-9312
(970) 729-2571
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8044
NE
Other
Enumeration date
06/13/2007
Last updated
12/19/2024
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