Individual
DR. QUINTON WAYNE GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
944 N GILBERT RD STE 104, MESA, AZ 85203-5836
(480) 649-7200
(480) 649-7219
Mailing address
944 N GILBERT RD STE 104, MESA, AZ 85203-5836
(480) 649-7200
(480) 649-7219
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D9119
OR
1223G0001X
General Practice Dentistry
D07791
AZ
1223G0001X
General Practice Dentistry
Primary
D7791
AZ
Other
Enumeration date
07/08/2008
Last updated
01/10/2020
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