Organization
GARDNER DENTAL LLC
Active
Other names
Family Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN S GARDNER DR. (OWNER/DENTIST)
(208) 466-3239
Entity
Organization
Contact information
Practice address
2065 12TH AVE RD, NAMPA, ID 83686-6311
(208) 466-3239
Mailing address
2065 12TH AVE RD, NAMPA, ID 83686-6311
(208) 466-3239
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/01/2025
Last updated
10/10/2025
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