Individual
DELARAM GANJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5636 MATILIJA AVE, VALLEY GLEN, CA 91401-4718
(310) 430-6974
Mailing address
5636 MATILIJA AVE, VALLEY GLEN, CA 91401-4718
(310) 430-6974
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
28115
CA
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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