Individual
DR. BRIAN PATRICK GANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
290 BAKER AVE STE N224, CONCORD, MA 01742-2192
(978) 369-3831
Mailing address
290 BAKER AVE STE N224, CONCORD, MA 01742-2192
(978) 369-3831
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1857932
MA
Other
Enumeration date
06/01/2018
Last updated
06/01/2018
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