Organization
GARDNER ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GARDNER DDS (PRESIDENT)
(775) 727-1900
Entity
Organization
Contact information
Practice address
1521 W WILSON RD, PAHRUMP, NV 89048-4213
(775) 727-1900
Mailing address
1521 W WILSON RD, PAHRUMP, NV 89048-4213
(775) 727-1900
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
S3-81C
NV
Other
Enumeration date
10/10/2011
Last updated
10/10/2011
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