| Donna L. Gardner, D.d.s.,p.c. | |
|
3500 S Lakeport St Sioux City IA 51106-4516 | |
| (712) 276-5547 | |
| (712) 276-9099 |
| Full Name | Donna L. Gardner, D.d.s.,p.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3500 S Lakeport St, Sioux City, Iowa |
| Authorized Official Name and Position | Donna Lynn Gardner (OWNER) |
| Authorized Official Contact | 7122765547 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Donna L. Gardner, D.d.s.,p.c. 3500 S Lakeport St Sioux City IA 51106-4516 Ph: (712) 276-5547 | Donna L. Gardner, D.d.s.,p.c. 3500 S Lakeport St Sioux City IA 51106-4516 Ph: (712) 276-5547 |
| NPI Number | 1891960282 |
|---|---|
| Provider Enumeration Date | 04/25/2008 |
| Last Update Date | 04/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891960282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 6866 (Iowa) | Primary |
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