Provider Demographics
NPI:1699152868
Name:DRS. GANGLANI, JOHAL, DUNNING, AND ASSOCIATES I, PLLC
Entity type:Organization
Organization Name:DRS. GANGLANI, JOHAL, DUNNING, AND ASSOCIATES I, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOTINDER
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-549-9922
Mailing Address - Street 1:8528 PIT STOP CT NW STE 30
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027-8221
Mailing Address - Country:US
Mailing Address - Phone:704-549-9922
Mailing Address - Fax:
Practice Address - Street 1:8528 PIT STOP CT NW STE 30
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28027-8221
Practice Address - Country:US
Practice Address - Phone:704-549-9922
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-27
Last Update Date:2015-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8457122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty