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Individual

DR. AMIR ALI GANJI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
1424 S BERNARD ST, SPOKANE, WA 99203-2154
(506) 624-5590
(509) 747-0483
Mailing address
1424 S BERNARD ST, SPOKANE, WA 99203-2154
(506) 624-5590
(509) 747-0483

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7994
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5028964
WA
Enumeration date
12/19/2006
Last updated
07/08/2007
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