| Robert E. Gardner D.d.s., P.a. | |
|
1121 W Main St Walnut Ridge AR 72476-1000 | |
| (870) 886-2492 | |
| Not Available |
| Full Name | Robert E. Gardner D.d.s., P.a. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1121 W Main St, Walnut Ridge, Arkansas |
| Authorized Official Name and Position | Robert E. Gardner (PRESIDENT) |
| Authorized Official Contact | 8708862492 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert E. Gardner D.d.s., P.a. 1121 W Main St Walnut Ridge AR 72476-1000 Ph: (870) 886-2492 | Robert E. Gardner D.d.s., P.a. 1121 W Main St Walnut Ridge AR 72476-1000 Ph: (870) 886-2492 |
| NPI Number | 1780847251 |
|---|---|
| Provider Enumeration Date | 07/05/2008 |
| Last Update Date | 07/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780847251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2386 (Arkansas) | Primary |
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