Individual
DR. SYAMACK GANJAVIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
129 S WEST ST, WILMINGTON, DE 19801-5014
(302) 230-0000
(302) 295-3607
Mailing address
129 S WEST ST, WILMINGTON, DE 19801-5014
(302) 230-0000
(302) 295-3607
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
13505
MD
1223G0001X
General Practice Dentistry
DS036982
PA
1223G0001X
General Practice Dentistry
Primary
G10001184
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000033854
—
DE
Enumeration date
11/21/2006
Last updated
04/17/2016
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