Organization
GANJI DMD DENTAL CORPORATION
Active
Other names
Washington Dental Arts
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GANJI DMD (OWNER/DENTIST)
(310) 643-8045
Entity
Organization
Contact information
Practice address
14650 AVIATION BLVD STE 220, HAWTHORNE, CA 90250-6666
(310) 643-8045
(310) 643-8410
Mailing address
14650 AVIATION BLVD STE 220, HAWTHORNE, CA 90250-6666
(310) 643-8045
(310) 643-8410
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
58334
CA
Other
Enumeration date
05/23/2014
Last updated
05/23/2014
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