Individual
DR. AMRITA GANGULY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
846 W 17TH ST, HOUSTON, TX 77008-3528
(310) 292-9529
Mailing address
809 S DAMEN AVE, APT-904A, CHICAGO, IL 60612-3858
(970) 324-3871
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
29875
TX
Other
Enumeration date
03/13/2013
Last updated
06/24/2019
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