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Ganji Dmd Dental Corporation
Preferred Provider Organization in Hawthorne, California
NPI 1912319088

Ganji Dmd Dental Corporation is a Preferred Provider Organization based in Hawthorne, CA. Ganji Dmd Dental Corporation practices in Hawthorne, CA. The NPI Number for Ganji Dmd Dental Corporation is 1912319088 and holds a License No. 58334 (California).

The current practice location address for Ganji Dmd Dental Corporation is 14650 Aviation Blvd Ste 220, Hawthorne, CA and can be reached out via phone at 310-643-8045 and via fax at 310-643-8410.

Location: 14650 Aviation Blvd Ste 220, Hawthorne, CA, 90250-6666
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912319088
Provider Name
Ganji Dmd Dental Corporation
Credential
Provider Entity Type
Organization
Address
14650 Aviation Blvd Ste 220, Hawthorne, CA, 90250-6666
Phone Number
310-643-8045
Fax Number
310-643-8410
Provider Enumeration Date
05/23/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
14650 Aviation Blvd Ste 220
City
Hawthorne
State
California
Zip
90250-6666
Phone Number
310-643-8045
Fax Number
310-643-8410
person
Provider Business Mailing Address Details
Address
14650 Aviation Blvd Ste 220
City
Hawthorne
State
California
Zip
90250-6666
Phone Number
310-643-8045
Fax Number
310-643-8410
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
58334 (California)
Definition
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.
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