Individual
DONALD RAY GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS PA
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-0001
(843) 792-2123
Mailing address
737 DILLS BLUFF RD, CHARLESTON, SC 29412-4724
(843) 795-5404
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1477
SC
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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