Individual
GANGA S PAHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD LIMITED LICENSE
Contact information
Practice address
637 WASHINGTON ST, DORCHESTER, MA 02124-3510
(617) 825-9660
(617) 288-7898
Mailing address
637 WASHINGTON ST, DORCHESTER, MA 02124-3510
(617) 825-9660
(617) 288-7898
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DL15921
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110111167A
—
MA
Enumeration date
08/11/2006
Last updated
01/30/2024
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