Organization
GANGLANI CALABASH PLLC
Active
Other names
Deeb & Fanning, DDS, PA
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD HENDRICKS (CREDENTIALING)
(612) 859-0444
Entity
Organization
Contact information
Practice address
10271 BEACH DR SW, CALABASH, NC 28467
(910) 579-5260
Mailing address
10271 BEACH DR SW, CALABASH, NC 28467
(910) 579-5260
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/10/2022
Last updated
01/10/2022
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