Roshen G Ganesh Dds, Pdd, Inc

NPI 1134515653 - Dentist - 1223G0001X

NPI Details
NPI 1134515653
Enumeration Date 04/10/2015
Last Updated 04/20/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name ROSHEN ROSHEN
Position OWNER
Phone (310) 458-4000
Fax (310) 458-4003
Practice Location
1418 7TH ST
#101
SANTA MONICA CA, 90401-2694, US
Phone (310) 458-4000
Fax (310) 458-4003
Business Location
1418 7TH ST
#101
SANTA MONICA CA, 90401-2694, US
Phone (310) 458-4000
Fax (310) 458-4003
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 49752
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According to our database, Roshen G Ganesh Dds, Pdd, Inc NPI is 1134515653, taxonomy code is 1223G0001X and license number is 49752, license state is located at California. Roshen G Ganesh Dds, Pdd, Inc physically located at 1418 7th St, Santa Monica CA, 90401-2694. NPI Number 1033115704 has the healthcare provider type.

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1134515653 NPI number is provided on an as is basis without warranty of any kind. 1134515653 is maintained by the National Plan & Provider Enumeration System. The contents of Roshen G Ganesh Dds, Pdd, Inc are for informational purposes only.