Provider Demographics
NPI:1053673673
Name:SARA L. GARCIA, DDS, PLLC
Entity Type:Organization
Organization Name:SARA L. GARCIA, DDS, PLLC
Other - Org Name:SMILE TUCSON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SARA
Authorized Official - Middle Name:L
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:520-744-6423
Mailing Address - Street 1:8295 N CORTARO RD
Mailing Address - Street 2:#137
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85743-7442
Mailing Address - Country:US
Mailing Address - Phone:520-744-6423
Mailing Address - Fax:520-579-6665
Practice Address - Street 1:8295 N CORTARO RD
Practice Address - Street 2:#137
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85743-7442
Practice Address - Country:US
Practice Address - Phone:520-744-6423
Practice Address - Fax:520-579-6665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-10
Last Update Date:2012-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD8178261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental