Organization
GANGLANI WAXHAW PLLC
Active
Other names
Waxhaw Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD HENDRICKS (CREDENTIALING)
(612) 859-0444
Entity
Organization
Contact information
Practice address
2514 CUTHBERTSON RD STE A, WAXHAW, NC 28173-6417
(704) 243-1122
Mailing address
2514 CUTHBERTSON RD STE A, WAXHAW, NC 28173-6417
(704) 243-1122
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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