Ganglani Wake Forest Pllc | |
1704 S Main St # 110 Wake Forest NC 27587-7323 | |
(919) 556-6200 | |
Not Available |
Full Name | Ganglani Wake Forest Pllc |
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Speciality | Dentist - General Practice |
Location | 1704 S Main St # 110, Wake Forest, North Carolina |
Authorized Official Name and Position | Chad Hendricks (CREDENTIALING) |
Authorized Official Contact | 6128590444 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ganglani Wake Forest Pllc 1704 S Main St # 110 Wake Forest NC 27587-7323 Ph: (919) 556-6200 | Ganglani Wake Forest Pllc 1704 S Main St # 110 Wake Forest NC 27587-7323 Ph: (919) 556-6200 |
NPI Number | 1255177705 |
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Provider Enumeration Date | 07/03/2024 |
Last Update Date | 07/03/2024 |
Identifier | Type | State | Issuer |
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1255177705 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |