Individual
DR. SUMANA T. GANGADHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
238 W ALLEGHENY RD, IMPERIAL, PA 15126-9775
(724) 695-8477
(724) 695-4688
Mailing address
238 W ALLEGHENY RD, IMPERIAL, PA 15126-9775
(724) 695-8447
(724) 695-4688
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS031039L
PA
1223G0001X
General Practice Dentistry
DS031039L
PA
Other
Enumeration date
06/29/2006
Last updated
03/13/2024
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