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1104931526
SCOTT R GARDNER
NAMPA, ID
NPI
1104931526
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: ID D-3527)
Enumeration Date
2006-08-19
Last Update Date
2007-07-08
Business Address
Dr. SCOTT R GARDNER DDS
2065 12TH AVE RD
NAMPA, ID 83686-6311
Phone number: 208-466-3239
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Mailing Address
Dr. SCOTT R GARDNER DDS
2065 12TH AVE. RD
NAMPA, ID 83686
Phone number: 208-466-3239
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