Individual
DR. BENJAMIN LORENZO GARDEA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2016 W 16TH ST, SAFFORD, AZ 85546-4026
(928) 428-1500
Mailing address
PO BOX 1625, PAGE, AZ 86040-1625
(928) 645-9675
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D008065
AZ
Other
Enumeration date
08/17/2010
Last updated
07/01/2011
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