Individual
SAI TEJ GANNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9242 N 7TH ST, PHOENIX, AZ 85020-2502
(602) 786-5492
Mailing address
14436 N 67TH PL, SCOTTSDALE, AZ 85254-3489
(714) 421-6645
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D010733
AZ
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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