GANGADHAR IMMANNI, DDS

DDS

General Practice Dentistry

NPI: 1912285032Individual

Specialties, Licenses & Credentials

General Practice DentistryPrimary

Dentist — General Practice

Code: 1223G0001X

DD3547(NM)

Contact & Hours

Address: 1515 WEST FIR
PORTALES, NM 88130
Phone: (575) 356-6695

Location

Practice Location

1515 WEST FIR, PORTALES, NM

Quick Facts

NPI: 1912285032
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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