Organization
GANGLANI DMD PLLC
Active
Parent organization
GANGLANI DMD PLLC
Other names
FRESHDental Cotswold
Organization subpart
Yes
Provider details
NPI number
Legal business name
GANGLANI DMD PLLC
Authorized official
RICHARD B VELAZQUE (DIRECTOR OF IMPLEMENTATION)
(704) 218-2132
Entity
Organization
Contact information
Practice address
2935 PROVIDENCE RD STE 100, CHARLOTTE, NC 28211-2762
(704) 516-0275
(866) 594-2098
Mailing address
2935 PROVIDENCE RD STE 100, CHARLOTTE, NC 28211-2762
(704) 516-0275
(866) 594-2098
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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