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Organization
S GHANNAM DDS INC
Active
Organization
S GHANNAM DDS INC
Active
Other names
S GHANNAM DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALAM A GHANNAM DDS (CEO)
(925) 779-1112
Entity
Organization
Contact information
Practice address
2225 BUCHANAN RD, SUITE A, ANTIOCH, CA 94509-4209
(925) 779-1112
Mailing address
2225 BUCHANAN RD, SUITE A, ANTIOCH, CA 94509-4209
(925) 779-1112
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
44681
CA
Other
Enumeration date
05/05/2007
Last updated
06/25/2008
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