| Kelly Ganzen, | |
|
Unit 100111 Box 1, Fpo, AP 96629-1100 | |
| (619) 545-1148 | |
| Not Available |
| Full Name | Kelly Ganzen |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Location | Unit 100111 Box 1, Fpo, Armed Forces Pacific |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922679943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 1922679943 (Utah) | Secondary |
| 122300000X | Dentist | 12324093-9922 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Ganzen, 1501 Island Ave Apt 415, San Diego, CA 92101-8012 Ph: () - | Kelly Ganzen, Unit 100111 Box 1, Fpo, AP 96629-1100 Ph: (619) 545-1148 |
Dr. Anthony James Marin, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: Psc 475 Box 1, Fpo, AP 96350 Phone: 315-243-5069 | |
Kenneth Andrew Millard, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3d Den Bn 3d Mlg Unit 38450, Fpo, AP 96373 Phone: 315-645-2390 | |
Dr. Miriam Behpour, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: Psc 475 Box 1, Fpo, AP 96350 Phone: 315-243-7144 | |
Jyotirmaie Suryadevara, DMD, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3d Den Bn 3d Mlg Unit 38450, Fpo, AP 96373 Phone: 973-641-5433 | |
Dr. Philip Joseph King, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: Psc 475 , Box 1821, Us Naval Hospital Yokosuka, Fpo, AP 96350 Phone: 011-814-68962800 | |
Dr. Trey Jeremy Coke, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: Psc 477 Box 2, Fpo, AP 96306 Phone: 954-618-3286 | |
Ashten Mai-vy Nguyen, Dentist Medicare: Not Enrolled in Medicare Practice Location: Psc 475 Box 1, Fpo, AP 96350 Phone: 315-243-8649 |