Ganglani Wake Forest Pllc
NPI #1255177705 in Wake Forest, North Carolina
Provider Information
- NPI Number
- 1255177705
- Entity Type
- Organization
- Organization Name
- Ganglani Wake Forest Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 3, 2024
- Last Updated
- Jul 3, 2024
Practice Location
- Address
- 1704 S MAIN ST # 110
- City
- Wake Forest
- State
- North Carolina
- ZIP Code
- 27587-7323
- Phone
- (919) 556-6200
Authorized Official
- Name
- CHAD HENDRICKS
- Title
- CREDENTIALING
- Phone
- (612) 859-0444
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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