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1245363100
TIMOTHY A. GARDNER
MIDVALE, UT
NPI
1245363100
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: UT 361876)
Enumeration Date
2007-03-13
Last Update Date
2007-07-08
Business Address
-- TIMOTHY A. GARDNER D.M.D.
7001 S 900 E STE 130
MIDVALE, UT 84047-1719
Phone number: 801-255-4421
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Mailing Address
-- TIMOTHY A. GARDNER D.M.D.
7001 S 900 E STE 130
MIDVALE, UT 84047-1719
Phone number: 801-255-4421
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