NPI | 1376917534 |
---|---|
Doing Business As | MI CASA FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | RAMIRO GANESH President 310-745-6062 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2015-11-25 |
Last Update Date | 2016-02-23 |