DR. DIMITRI GANIM, DDS
Dentist - General Practice
Active
Individual
NPI: 1093735524
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 1661 (RI) |
Frequently Asked Questions
NPI 1093735524 is the National Provider Identifier for DR. DIMITRI GANIM, DDS, a Dentist - General Practice provider located in Pawtucket, RI. This NPI was enumerated on July 20, 2006.
DR. DIMITRI GANIM, DDS practices at 878 NEWPORT AVE, Pawtucket, RI 02861.
Quick Facts
- NPI
- 1093735524
- Type
- Individual
- Enumerated
- Jul 20, 2006
- Last Updated
- Jul 8, 2007
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GATEWAY HEALTHCARE, INC
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MS. KATELYN LARSSON, PA-C
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DANIEL REYES, MASTERS
Counselor
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DONNA RENSHAW
Counselor
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SUSAN LIM, RPH
Pharmacist