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1114187598
SCOTT R GARDNER DDS PC
NAMPA, ID
NPI
1114187598
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Entity Type
Organization
Authorized Contact
SCOTT ROBERT GARDNER
Detist
208-466-3239
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: ID D3527)
Enumeration Date
2008-06-10
Last Update Date
2008-06-10
Business Address
SCOTT R GARDNER DDS PC
2065 12TH AVE RD
NAMPA, ID 83686-6311
Phone number: 208-466-3239
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Mailing Address
SCOTT R GARDNER DDS PC
2065 12TH AVE RD
NAMPA, ID 83686-6311
Phone number: 208-466-3239
Copy
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