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Dr. Mohamed A Ganni, D.M.D.

Dentist, Oral and Maxillofacial Surgery in Beaumont, TX. Individual provider (NPI-1).

NPI number1679679666
StatusActive
Last updated in NPPESAug 7, 2009

Details

NPI
1679679666
Entity type
Individual (NPI-1)
Name
Dr. Mohamed A Ganni
Credential
D.M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Sep 16, 2006
Last updated
Aug 7, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223S0112X Dentist, Oral and Maxillofacial Surgery24769TXYes
1223S0112X Dentist, Oral and Maxillofacial Surgery051852NY

Practice location

3302 McFaddin St
Suite 4
Beaumont, TX 77706-5038

Phone 409-838-4200

Mailing address

3302 McFaddin St
Suite 4
Beaumont, TX 77706-5038

Phone 409-838-4200

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Other Oral and Maxillofacial Surgery (Dentist) providers in Beaumont, TX

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