S Ghannam DDS INC
NPI #1699987149 in Antioch, California
Provider Information
- NPI Number
- 1699987149
- Entity Type
- Organization
- Organization Name
- S Ghannam DDS INC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 5, 2007
- Last Updated
- Jun 25, 2008
Practice Location
- Address
- 2225 BUCHANAN RD
- Address 2
- SUITE A
- City
- Antioch
- State
- California
- ZIP Code
- 94509-4209
- Phone
- (925) 779-1112
Authorized Official
- Name
- DR. SALAM A GHANNAM, DDS
- Title
- CEO
- Phone
- (925) 779-1112
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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