| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 07/03/2024 |
| Last Update Date | 07/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255177705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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