| Dr Gangadhar Immanni, DDS | |
|
1515 West Fir, Portales, NM 88130 | |
| (575) 356-6695 | |
| (575) 356-5948 |
| Full Name | Dr Gangadhar Immanni |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 1515 West Fir, Portales, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912285032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DD3547 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gangadhar Immanni, DDS 1515 West Fir, Po Box 843, Portales, NM 88130 Ph: (575) 356-6695 | Dr Gangadhar Immanni, DDS 1515 West Fir, Portales, NM 88130 Ph: (575) 356-6695 |
Lee Le, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1515 W Fir St, Portales, NM 88130 Phone: 575-356-6695 | |
Dr. Peter L Thompson, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 123 W 2nd St, Portales, NM 88130 Phone: 505-359-1011 Fax: 505-356-2947 | |
Aaron Mark Standing, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1521 W 18th St, Portales, NM 88130 Phone: 575-356-8514 | |
Lindsay D Christensen, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1515 West Fir, Portales, NM 88130 Phone: 505-356-6695 Fax: 575-356-5948 | |
James Franklin Smith, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1515 West Fir, Portales, NM 88130 Phone: 505-356-6695 Fax: 505-356-5948 |