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Organization
GANJI DENTAL CORPORATION
Active
Organization
GANJI DENTAL CORPORATION
Active
Other names
Washington Dental Services
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GANJI DMD (PART OWNER)
(213) 765-0004
Entity
Organization
Contact information
Practice address
1005 E WASHINGTON BLVD STE B, LOS ANGELES, CA 90021-3020
(213) 765-0004
Mailing address
1005 E WASHINGTON BLVD STE B, LOS ANGELES, CA 90021-3020
(213) 765-0004
(213) 765-4949
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
58334
CA
1223G0001X
General Practice Dentistry
58353
CA
Other
Enumeration date
04/11/2011
Last updated
08/24/2012
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