Lawal, Ganiat A

Lawal, Ganiat A is an individual health care provider with primary practice located at 105 Perry Dr , Southern Pines NC 28387-7019. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Lawal, Ganiat A can be contacted via phone (910) 692-5111.

Contact Information

Primary practice address
105 Perry Dr Southern Pines NC 28387-7019
Fax: (910) 692-1003
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 7374 North Carolina

Profile Details

NPI number 1992785091
LBN Legal business name Lawal, Ganiat A
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992785091 NPPES
North Carolina Other 902WJ BCBS
North Carolina MEDICAID 89-902WJ BCBS

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