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9021 Goodnight Ranch Blvd Suite 1320 Austin TX 78747 | |
(310) 745-6062 | |
Not Available |
Full Name | |
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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 |
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9021 Goodnight Ranch Blvd Unit 1320 Austin TX 78747-1682 Ph: (512) 580-3601 | 9021 Goodnight Ranch Blvd Suite 1320 Austin TX 78747 Ph: (310) 745-6062 |
NPI Number | 1679229868 |
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Provider Enumeration Date | 02/25/2022 |
Last Update Date | 06/12/2024 |
Identifier | Type | State | Issuer |
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1679229868 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (* (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 | |