Individual
DR. SRAVANTHI GANNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1728 DUNLAWTON AVE STE 3, APARTMENT 2G, PORT ORANGE, FL 32127-2923
(412) 913-8877
(844) 704-4268
Mailing address
1728 DUNLAWTON AVE STE 3, PORT ORANGE, FL 32127-2923
(412) 913-8877
(844) 704-4268
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN19304
FL
Other
Enumeration date
06/23/2008
Last updated
11/22/2021
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