Individual
DR. SHAUN PATRICK GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2045 S VINEYARD STE 150, MESA, AZ 85210-6892
(480) 345-7668
(480) 413-1408
Mailing address
2045 S VINEYARD STE 150, MESA, AZ 85210-6892
(480) 345-7668
(480) 413-1408
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5603
AZ
Other
Enumeration date
01/29/2007
Last updated
11/04/2021
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