Individual
NICOLE GANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2124 CORNELL RD, CLEVELAND, OH 44106-3804
(216) 368-3200
Mailing address
518 N ARLINGTON HEIGHTS RD, ITASCA, IL 60143-1643
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3024885
OH
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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