Organization
ROBERT E. GARDNER D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT E. GARDNER D.D.S. (PRESIDENT)
(870) 886-2492
Entity
Organization
Contact information
Practice address
1121 W MAIN ST, WALNUT RIDGE, AR 72476-1000
(870) 886-2492
Mailing address
1121 W MAIN ST, WALNUT RIDGE, AR 72476-1000
(870) 886-2492
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2386
AR
Other
Enumeration date
07/05/2008
Last updated
07/05/2008
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