Ganglani Dmd Pllc | |
4200 Main St Ste 103 Harrisburg NC 28075-7491 | |
(704) 516-0275 | |
Not Available |
Full Name | Ganglani Dmd Pllc |
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Speciality | Dentist - General Practice |
Location | 4200 Main St Ste 103, Harrisburg, North Carolina |
Authorized Official Name and Position | Richard B Velazque (DIRECTOR OF IMPLEMENTATION) |
Authorized Official Contact | 7045160275 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ganglani Dmd Pllc 3935 Somerdale Ln Ste 110 Charlotte NC 28205-4515 Ph: (704) 516-0275 | Ganglani Dmd Pllc 4200 Main St Ste 103 Harrisburg NC 28075-7491 Ph: (704) 516-0275 |
NPI Number | 1285301390 |
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Provider Enumeration Date | 08/26/2021 |
Last Update Date | 08/26/2021 |
Identifier | Type | State | Issuer |
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1285301390 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Secondary |
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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