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GANJI DMD DENTAL CORPORATION NPI 1912319088


NPI Information

NPI: 1912319088
Provider Name: GANJI DMD DENTAL CORPORATION

Doing Business As: WASHINGTON DENTAL ARTS

Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
14650 AVIATION BLVD STE 220
HAWTHORNE, CA
ZIP 90250
Phone: (310) 643-8045
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GANJI DMD DENTAL CORPORATION is a preferred provider organization in Hawthorne, CA. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. GANJI DMD DENTAL CORPORATION NPI is 1912319088. The provider is registered as an organization entity type.
The provider Is Doing Business As Washington Dental Arts.

The provider's business location address is:

14650 AVIATION BLVD STE 220
HAWTHORNE, CA
ZIP 90250-666
Phone: (310) 643-8045
Fax: (310) 643-8410

The provider's authorized official is David Ganji .
The authorized official title is Owner/dentist and has the following contact phone number (310) 643-8045.

The enumeration date for this NPI number is 5/23/2014 and was last updated on 5/23/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305R00000XPreferred Provider Organization58334CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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