Organization
NICHOLAS FRANDY GARDNER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS GARDNER DDS (OWNER)
(315) 287-7900
Entity
Organization
Contact information
Practice address
119 E MAIN ST, GOUVERNEUR, NY 13642-1712
Mailing address
119 E MAIN ST, GOUVERNEUR, NY 13642-1712
(315) 287-7900
(315) 287-4789
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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