Individual
DR. MARK WILLIAM GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1239 STATE ROAD 229, BATESVILLE, IN 47006-6804
(812) 934-6166
Mailing address
1239 STATE ROAD 229, BATESVILLE, IN 47006-6804
(812) 934-6166
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12008698
IN
Other
Enumeration date
03/31/2006
Last updated
07/08/2007
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