Organization
GANGLANI DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD VELAZQUE (OPERATIONS MANAGER)
(704) 516-0275
Entity
Organization
Contact information
Practice address
6611 OLD MONROE RD, INDIAN TRAIL, NC 28079-5352
(704) 218-2132
(888) 977-1574
Mailing address
1110 CHURCHILL COMMONS DR, CHARLOTTE, NC 28211-1396
(215) 410-0044
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/31/2020
Last updated
03/31/2020
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