| Ganglani Dmd Pllc | |
|
4200 Main St Ste 103 Harrisburg NC 28075-7491 | |
| (704) 516-0275 | |
| Not Available |
| Full Name | Ganglani Dmd Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4200 Main St Ste 103, Harrisburg, North Carolina |
| Authorized Official Name and Position | Richard B Velazque (DIRECTOR OF IMPLEMENTATION) |
| Authorized Official Contact | 7045160275 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ganglani Dmd Pllc 3935 Somerdale Ln Ste 110 Charlotte NC 28205-4515 Ph: (704) 516-0275 | Ganglani Dmd Pllc 4200 Main St Ste 103 Harrisburg NC 28075-7491 Ph: (704) 516-0275 |
| NPI Number | 1285301390 |
|---|---|
| Provider Enumeration Date | 08/26/2021 |
| Last Update Date | 08/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285301390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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