Dimitri George Ganim DDS

NPI 1093735524 - Dentist - 1223G0001X

NPI Details
NPI 1093735524
Gender Male
Enumeration Date 07/20/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
878 NEWPORT AVE
PAWTUCKET RI, 02861-2642, US
Phone (401) 725-6140
Fax (401) 726-8045
Business Location
878 NEWPORT AVE
PAWTUCKET RI, 02861-2642, US
Phone (401) 725-6140
Fax (401) 726-8045
Toxanomy
Taxonomy Code 1223G0001X
License State Rhode Island
License Number 1661
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According to our database, Dr. Dimitri George Ganim DDS NPI is 1093735524, taxonomy code is 1223G0001X and license number is 1661, license state is located at Rhode Island. Dimitri George Ganim DDS physically located at 878 Newport Ave, Pawtucket RI, 02861-2642. NPI Number Dimitri George Ganim DDS has the Individual type.

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1093735524 NPI number is provided on an as is basis without warranty of any kind. 1093735524 is maintained by the National Plan & Provider Enumeration System. The contents of Dimitri George Ganim DDS are for informational purposes only.