Organization
GARHADO ENTER PRISES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDOLPH PAUL GARDNER DMD (DENTIST)
(678) 458-9906
Entity
Organization
Contact information
Practice address
449 PLEASANT HILL RD, SUITE 101, LILBURN, GA 30047
(770) 564-9906
(770) 564-9907
Mailing address
1201 RISING MOON TRAIL, SNELLVILLE, GA 30078
(770) 982-9129
(770) 564-9906
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
FL
1223G0001X
General Practice Dentistry
Primary
—
GA
Other
Enumeration date
08/14/2006
Last updated
08/22/2020
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