| NPI | 1922856624 |
|---|---|
| Doing Business As | GARDENIA DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | RYAN REDIGER Owner/Dentist 940-305-0408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2024-05-08 |
| Last Update Date | 2024-05-08 |