| Ronald E Gardner Dds Llc | |
|
1631 Nevada Hwy Boulder City NV 89005-1908 | |
| (702) 293-2436 | |
| (702) 293-6852 |
| Full Name | Ronald E Gardner Dds Llc |
|---|---|
| Speciality | Dentist |
| Location | 1631 Nevada Hwy, Boulder City, Nevada |
| Authorized Official Name and Position | Rocko Graziano (MANAGER) |
| Authorized Official Contact | 7022932436 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald E Gardner Dds Llc 1631 Nevada Hwy Boulder City NV 89005-1908 Ph: (702) 293-2436 | Ronald E Gardner Dds Llc 1631 Nevada Hwy Boulder City NV 89005-1908 Ph: (702) 293-2436 |
| NPI Number | 1871990119 |
|---|---|
| Provider Enumeration Date | 12/02/2014 |
| Last Update Date | 12/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871990119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4166 (Nevada) | Primary |
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