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1770569535
DAVID DOUGLAS GARDNER
ANDOVER, NY
NPI
1770569535
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NY 041343)
Enumeration Date
2005-12-22
Last Update Date
2007-07-08
Business Address
-- DAVID DOUGLAS GARDNER
2 SOUTH MAIN ST
ANDOVER, NY 14806
Phone number: 607-478-8426
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Mailing Address
-- DAVID DOUGLAS GARDNER
9 MALIN LN
PENFIELD, NY 14526-2232
Phone number: 585-864-9704
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