Individual
TREVOR K GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
175 N BERNARD ST, POWELL, WY 82435-2617
(307) 754-3391
Mailing address
175 N BERNARD ST, POWELL, WY 82435-2617
(307) 754-3391
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1647
WY
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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