Individual
DR. MOHAMED A GANNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3302 MCFADDIN ST, SUITE 4, BEAUMONT, TX 77706-5038
(409) 838-4200
Mailing address
3302 MCFADDIN ST, SUITE 4, BEAUMONT, TX 77706-5038
(409) 838-4200
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
051852
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
24769
TX
Other
Enumeration date
09/16/2006
Last updated
08/07/2009
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