Organization
RONALD E GARDNER DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROCKO GRAZIANO (MANAGER)
(702) 293-2436
Entity
Organization
Contact information
Practice address
1631 NEVADA HWY, BOULDER CITY, NV 89005-1908
(702) 293-2436
(702) 293-6852
Mailing address
1631 NEVADA HWY, BOULDER CITY, NV 89005-1908
(702) 293-2436
(702) 293-6852
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4166
NV
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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