Individual
ROBERT PETER GARDETTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1521 NORTHWAY DR, SUITE 105, ST. CLOUD, MN 56303-1223
(320) 252-8363
Mailing address
21494 COUNTY ROAD 73, BIG LAKE, MN 55309-9304
(763) 263-1486
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9996
MN
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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