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5405 S Pleasant Valley Rd Suite 100 Austin TX 78744-3870 | |
(310) 745-6062 | |
Not Available |
Full Name | |
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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 |
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5405 S Pleasant Valley Rd Austin TX 78744-3870 Ph: () - | 5405 S Pleasant Valley Rd Suite 100 Austin TX 78744-3870 Ph: (310) 745-6062 |
NPI Number | 1376917534 |
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Provider Enumeration Date | 11/25/2015 |
Last Update Date | 02/23/2016 |
Identifier | Type | State | Issuer |
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1376917534 | NPI | - | NPPES |
3530115-01 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Jared Poplin D.m.d., Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6850 Austin Center Blvd Ste 220, Austin, TX 78731 Phone: 785-691-6171 | |
Ac Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13616 N Highway 183, Austin, TX 78750 Phone: 512-682-5437 | |