| NPI | 1487422010 |
|---|---|
| Doing Business As | GARDNER DENTAL |
| Entity Type | Organization |
| Authorized Contact | ROD T GARDNER Dentist 435-230-8030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-12-13 |
| Last Update Date | 2024-01-04 |