Indiana
Professional Licensing Agency
Philip W. Gardner, D.D.S., P.C.
Dentistry Board - Dental Corporation
License number
54001120A
Date granted
10/08/1998
Date expires
01/31/2016
Class
Dentistry Board - Dental Corporation
Status
Active
Address
1234 EAST DUPONT ROAD STE 4, FORT WAYNE IN 46815
indianalicensing.org
ID 24744327
LAST UPDATED 2024-02-26 20:51:19 UTC
LAST UPDATED 2024-02-26 20:51:19 UTC
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