| Dr. Brian P. Ganley, DMD Family Dentistry | |
|
134 Main St Unit 1c Groton MA 01450-1375 | |
| (978) 448-5523 | |
| Not Available |
| Full Name | Dr. Brian P. Ganley, DMD Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 134 Main St Unit 1c, Groton, Massachusetts |
| Authorized Official Name and Position | Brian Patrick Ganley (PRACTICE OWNER) |
| Authorized Official Contact | 9783037916 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Brian P. Ganley, DMD Family Dentistry Po Box 687 Groton MA 01450-0687 | Dr. Brian P. Ganley, DMD Family Dentistry 134 Main St Unit 1c Groton MA 01450-1375 Ph: (978) 448-5523 |
| NPI Number | 1295333573 |
|---|---|
| Provider Enumeration Date | 10/09/2020 |
| Last Update Date | 10/09/2020 |
| Certification Date | 10/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295333573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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