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1790859916
WILLIAM EARLE GARDNER
FORT SMITH, AR
NPI
1790859916
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: AR 3510)
Additional Taxonomies
122300000X Dentist
(Licence: OK 4720)
Enumeration Date
2006-11-20
Last Update Date
2010-10-14
Business Address
Dr. WILLIAM EARLE GARDNER DDS
109 N 17TH ST
FORT SMITH, AR 72901-3223
Phone number: 479-782-6021
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Mailing Address
Dr. WILLIAM EARLE GARDNER DDS
PO BOX 1059
ROLAND, OK 74954-1059
Phone number: 918-427-0772
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