SCOTT R GARDNER

NAMPA, ID
NPI1104931526
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  D-3527)
Enumeration Date2006-08-19
Last Update Date2007-07-08
Business Address
Dr. SCOTT R GARDNER DDS
2065 12TH AVE RD
NAMPA, ID 83686-6311
Phone number: 208-466-3239
Mailing Address
Dr. SCOTT R GARDNER DDS
2065 12TH AVE. RD
NAMPA, ID 83686
Phone number: 208-466-3239