Sean Cavendish Gardner, DDS
Dentist in San Antonio, TX. Individual provider (NPI-1).
NPI number1841925302
StatusActive
Last updated in NPPESJul 19, 2022
Details
- NPI
- 1841925302
- Entity type
- Individual (NPI-1)
- Name
- Sean Cavendish Gardner
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 19, 2022
- Certification date
- Jul 19, 2022
- Last updated
- Jul 19, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 38735 | TX | Yes |
Practice location
3740 Colony Dr Ste 254San Antonio, TX 78230-2233
Phone 210-690-5170
Mailing address
4903 Owl Haven StSan Antonio, TX 78250-4736
Phone 210-571-3919
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