Ganji Dmd Dental Corporation
NPI #1912319088 in Hawthorne, California
Provider Information
- NPI Number
- 1912319088
- Entity Type
- Organization
- Organization Name
- Ganji Dmd Dental Corporation
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- May 23, 2014
- Last Updated
- May 23, 2014
Practice Location
- Address
- 14650 AVIATION BLVD STE 220
- City
- Hawthorne
- State
- California
- ZIP Code
- 90250-6666
- Phone
- (310) 643-8045
Authorized Official
- Name
- DAVID GANJI, DMD
- Title
- OWNER/DENTIST
- Phone
- (310) 643-8045
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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