Individual
DR. RICHARD SCOTT GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4750 AUSTELL RD, AUSTELL, GA 30106-2004
(770) 948-8888
(770) 948-9065
Mailing address
4750 AUSTELL RD, AUSTELL, GA 30106-2004
(770) 948-8888
(770) 948-9065
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
011692
GA
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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