| NPI | 1679229868 |
|---|---|
| Doing Business As | MI CASA FAMILY DENTISTRY GNR |
| Entity Type | Organization |
| Authorized Contact | RAMIRO GANESH Owner 310-745-6062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2022-02-25 |
| Last Update Date | 2024-06-12 |