Organization
DONNA L. GARDNER, D.D.S.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONNA LYNN GARDNER DDS (OWNER)
(712) 276-5547
Entity
Organization
Contact information
Practice address
3500 S LAKEPORT ST, SIOUX CITY, IA 51106-4516
(712) 276-5547
(712) 276-9099
Mailing address
3500 S LAKEPORT ST, SIOUX CITY, IA 51106-4516
(712) 276-5547
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6866
IA
Other
Enumeration date
04/25/2008
Last updated
04/25/2008
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