Individual
DR. DONNA LYNN GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3500 S LAKEPORT ST, SIOUX CITY, IA 51106-4516
(712) 276-5547
(712) 276-9099
Mailing address
3500 S LAKEPORT ST, SIOUX CITY, IA 51106-4516
(712) 276-5547
(712) 276-9099
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6866
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0206474
—
IA
Enumeration date
02/17/2006
Last updated
02/15/2008
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