Individual
GOPALA KRISHNA GANTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
2615 S CENTER ST, MARSHALLTOWN, IA 50158-4501
(641) 352-7180
Mailing address
1106 MAIDEN LANE CT APT 111, ANN ARBOR, MI 48105-1976
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS-10460
IA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/06/2026
Last updated
05/12/2026
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