Organization
JOHN A GARDNER, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ALLEN GARDNER DDS (PEDIATRIC DENTIST/PRESIDENT)
(573) 443-2544
Entity
Organization
Contact information
Practice address
1316 OLD 63 S, STE. 201, COLUMBIA, MO 65201-6092
(573) 443-2544
(573) 815-0840
Mailing address
1316 OLD 63 S, STE. 201, COLUMBIA, MO 65201-6092
(573) 443-2544
(573) 815-0840
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
10937
MO
Other
Enumeration date
06/11/2008
Last updated
06/11/2008
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