Organization
GANGLANI SOUTH TRYON PLLC
Active
Other names
Sam Kleitches, DDS
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD HENDRICKS (CREDENTIALING)
(612) 859-0444
Entity
Organization
Contact information
Practice address
9720 S TRYON ST # B, CHARLOTTE, NC 28273-6578
(704) 588-5600
Mailing address
9720 S TRYON ST # B, CHARLOTTE, NC 28273-6578
(704) 588-5600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/21/2022
Last updated
07/21/2022
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