Individual
DR. RANDOLPH PAUL GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
449 PLEASANT HILL RD NW, SUITE 101, LILBURN, GA 30047-2770
(770) 564-9906
(770) 564-9907
Mailing address
449 PLEASANT HILL RD NW, SUITE 101, LILBURN, GA 30047-2770
(770) 564-9906
(770) 564-9907
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN11602
GA
Other
Enumeration date
07/10/2008
Last updated
07/10/2008
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