| Mi Casa Family Dentistry Gnr | |
|
9021 Goodnight Ranch Blvd Suite 1320 Austin TX 78747 | |
| (310) 745-6062 | |
| Not Available |
| Full Name | Mi Casa Family Dentistry Gnr |
|---|---|
| Speciality | Dentist |
| Location | 9021 Goodnight Ranch Blvd, Austin, Texas |
| Authorized Official Name and Position | Ramiro Ganesh (OWNER) |
| Authorized Official Contact | 3107456062 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mi Casa Family Dentistry Gnr 9021 Goodnight Ranch Blvd Unit 1320 Austin TX 78747-1682 Ph: (512) 580-3601 | Mi Casa Family Dentistry Gnr 9021 Goodnight Ranch Blvd Suite 1320 Austin TX 78747 Ph: (310) 745-6062 |
| NPI Number | 1679229868 |
|---|---|
| Provider Enumeration Date | 02/25/2022 |
| Last Update Date | 06/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679229868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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