Individual
GARDINER MCKAY PACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6037 HARBOUR PARK DR, MIDLOTHIAN, VA 23112-2160
(804) 744-3636
(804) 744-6365
Mailing address
5333 WHETSTONE RD, RICHMOND, VA 23234-4325
(804) 743-7023
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
0401412190
VA
Other
Enumeration date
09/04/2007
Last updated
06/23/2009
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