Ganglani Dmd PLLC
Dentist, General Practice in Charlotte, NC. Organization (NPI-2).
NPI number1346851805
StatusActive
Last updated in NPPESAug 10, 2020
Details
- NPI
- 1346851805
- Entity type
- Organization (NPI-2)
- Legal business name
- Ganglani Dmd PLLC
- Organization subpart
- Yes
- Enumeration date
- Aug 10, 2020
- Certification date
- Aug 10, 2020
- Last updated
- Aug 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Fresh Dental Park Road (Doing Business As)
Practice location
8420 Park RdCharlotte, NC 28210-5801
Phone 704-910-3098
Mailing address
8420 Park RdCharlotte, NC 28210-5801
Phone 704-910-3098
Authorized official
Richard B Velazque
Director Of Implementation
7042182132
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