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Individual

DR. ROBERT EDWARD GARDNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BS, DDS, FAGD

Contact information

Practice address
1121 W MAIN ST, WALNUT RIDGE, AR 72476-1000
(870) 886-2492
(870) 886-2492
Mailing address
1121 W MAIN ST, WALNUT RIDGE, AR 72476-1000
(870) 886-2492
(870) 886-2492

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2386
AR

Other

Enumeration date
06/28/2006
Last updated
07/08/2007
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