Individual
DR. LEON KIRK GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3710 SW US VETERAN HOSPTIAL RD, PORTLAND, OR 97239
(503) 220-8262
Mailing address
7435 SW 49TH CT, PORTLAND, OR 97219
(503) 244-6491
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
4567
AL
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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