Organization
GANGER FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
URVI GANGER DDS (OWNER)
(614) 313-8831
Entity
Organization
Contact information
Practice address
1858 W 35TH ST, CHICAGO, IL 60609-1201
(614) 313-8831
Mailing address
1858 W 35TH ST, CHICAGO, IL 60609-1201
(614) 313-8831
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019031464
LICENSE NUMBER
IL
Enumeration date
09/17/2018
Last updated
09/17/2018
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