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NPI Code Detail

MEDICARE: RAMIRO GANESH DDS, PC.

MEDICARE: RAMIRO GANESH DDS, PC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376917534
Entity Type Code : Organization
Provider Name (Legal Business Name) : RAMIRO GANESH DDS, PC.
Provider Business Mailing Address
First Line : 5405 S PLEASANT VALLEY RD
Second Line :
City : AUSTIN
State : TX
Zip : 78744-3870
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5405 S PLEASANT VALLEY RD
Second Line : SUITE 100
City : AUSTIN
State : TX
Zip : 78744-3870
Country : US
Telephone Number : 310-745-6062
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. RAMIRO GANESH
Credential :
Telephone Number : 310-745-6062
Provider Enumeration Date : 11/25/2015
Last Update Date : 02/23/2016

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Directions to “RAMIRO GANESH DDS, PC. ” Practice Location

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