| S Ghannam DDS | |
|
2225 Buchanan Rd Suite A Antioch CA 94509-4209 | |
| (925) 779-1112 | |
| Not Available |
| Full Name | S Ghannam DDS |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2225 Buchanan Rd, Antioch, California |
| Authorized Official Name and Position | Salam a Ghannam (CEO) |
| Authorized Official Contact | 9257791112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| S Ghannam DDS 2225 Buchanan Rd Suite A Antioch CA 94509-4209 Ph: (925) 779-1112 | S Ghannam DDS 2225 Buchanan Rd Suite A Antioch CA 94509-4209 Ph: (925) 779-1112 |
| NPI Number | 1699987149 |
|---|---|
| Provider Enumeration Date | 05/05/2007 |
| Last Update Date | 06/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699987149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 44681 (California) | Primary |
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