Organization
GANGLANI DMD PLLC
Active
Parent organization
GANGLANI DMD PLLC
Other names
FRESHDental Harrisburg
Organization subpart
Yes
Provider details
NPI number
Legal business name
GANGLANI DMD PLLC
Authorized official
RICHARD B VELAZQUE (DIRECTOR OF IMPLEMENTATION)
(704) 516-0275
Entity
Organization
Contact information
Practice address
4200 MAIN ST STE 103, HARRISBURG, NC 28075-7491
(704) 516-0275
Mailing address
3935 SOMERDALE LN STE 110, CHARLOTTE, NC 28205-4515
(704) 516-0275
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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