Chad Martin Gardner DDS

NPI 1871694257 - Dentist - 1223G0001X

NPI Details
NPI 1871694257
Gender Male
Enumeration Date 09/26/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
268 HARRINGTON AVE
BASTROP LA, 71220-3026, US
Phone (318) 281-5972
Fax (318) 281-9964
Business Location
268 HARRINGTON AVE
BASTROP LA, 71220-3026, US
Phone (318) 281-5972
Fax (318) 281-9964
Toxanomy
Taxonomy Code 1223G0001X
License State Louisiana
License Number 5638
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According to our database, Dr. Chad Martin Gardner DDS NPI is 1871694257, taxonomy code is 1223G0001X and license number is 5638, license state is located at Louisiana. Chad Martin Gardner DDS physically located at 268 Harrington Ave, Bastrop LA, 71220-3026. NPI Number Chad Martin Gardner DDS has the Individual type.

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1871694257 NPI number is provided on an as is basis without warranty of any kind. 1871694257 is maintained by the National Plan & Provider Enumeration System. The contents of Chad Martin Gardner DDS are for informational purposes only.