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1497865844
PHILIP W GARDNER
FORT WAYNE, IN
NPI
1497865844
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IN 12007605B)
Enumeration Date
2006-08-30
Last Update Date
2007-07-08
Business Address
Dr. PHILIP W GARDNER DDS
1234 E DUPONT RD STE 4
FORT WAYNE, IN 46825
Phone number: 260-490-3495
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Mailing Address
Dr. PHILIP W GARDNER DDS
1234 E DUPONT RD STE 4
FORT WAYNE, IN 46825
Phone number: 260-490-3495
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