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1407284128
SANGEETA SANJAYKUMAR GANTAYAT
WACO, TX
NPI
1407284128
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: TX 30630)
Additional Taxonomies
122300000X Dentist
(Licence: PA DS039773)
Enumeration Date
2013-10-15
Last Update Date
2022-07-21
Business Address
-- SANGEETA SANJAYKUMAR GANTAYAT DMD
4215 FRANKLIN AVE STE 300
WACO, TX 76710-6903
Phone number: 254-227-6444
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Mailing Address
-- SANGEETA SANJAYKUMAR GANTAYAT DMD
463 WESTFIELD BLVD APT 1024
TEMPLE, TX 76502-5324
Phone number: 201-696-1807
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