Individual
WILLIAM A GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
300 N RIVER RD, BRIDGEWATER, VA 22812-1221
(540) 828-4433
(540) 828-2507
Mailing address
3858 WAYFARERS RD., BRIDGEWATER, VA 22812
(540) 828-2507
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401005911
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804229
—
VA
Enumeration date
07/11/2006
Last updated
07/08/2007
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