| Joel P. Gardner, Dmd, Ps | |
|
1210 E Division St Mount Vernon WA 98274-4102 | |
| (360) 336-5464 | |
| (360) 336-3806 |
| Full Name | Joel P. Gardner, Dmd, Ps |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1210 E Division St, Mount Vernon, Washington |
| Authorized Official Name and Position | Joel Patrick Gardner (CEO) |
| Authorized Official Contact | 3603365464 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joel P. Gardner, Dmd, Ps 1210 E Division St Mount Vernon WA 98274-4102 Ph: (360) 336-5464 | Joel P. Gardner, Dmd, Ps 1210 E Division St Mount Vernon WA 98274-4102 Ph: (360) 336-5464 |
| NPI Number | 1639305253 |
|---|---|
| Provider Enumeration Date | 06/10/2009 |
| Last Update Date | 06/10/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639305253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DE00008421 (Washington) | Primary |
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