| Mi Casa Family Dentistry | |
|
5405 S Pleasant Valley Rd Suite 100 Austin TX 78744-3870 | |
| (310) 745-6062 | |
| Not Available |
| Full Name | Mi Casa Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5405 S Pleasant Valley Rd, Austin, Texas |
| Authorized Official Name and Position | Ramiro Ganesh (PRESIDENT) |
| Authorized Official Contact | 3107456062 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mi Casa Family Dentistry 5405 S Pleasant Valley Rd Austin TX 78744-3870 Ph: () - | Mi Casa Family Dentistry 5405 S Pleasant Valley Rd Suite 100 Austin TX 78744-3870 Ph: (310) 745-6062 |
| NPI Number | 1376917534 |
|---|---|
| Provider Enumeration Date | 11/25/2015 |
| Last Update Date | 02/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376917534 | NPI | - | NPPES |
| 3530115-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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