DR. Dimitri George Ganim, DDS
NPI #1093735524 in Pawtucket, Rhode Island
Provider Information
- NPI Number
- 1093735524
- Entity Type
- Individual
- Name
- DR. Dimitri George Ganim, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jul 20, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 878 NEWPORT AVE
- City
- Pawtucket
- State
- Rhode Island
- ZIP Code
- 02861-2642
- Phone
- (401) 725-6140
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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