Provider Demographics
NPI:1114336682
Name:MARTIN G. GARCIA DDS PC
Entity Type:Organization
Organization Name:MARTIN G. GARCIA DDS PC
Other - Org Name:BRIGHT SMILE
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:G
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:210-867-1422
Mailing Address - Street 1:523 MED CT
Mailing Address - Street 2:SUITE 106
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-3359
Mailing Address - Country:US
Mailing Address - Phone:210-281-5115
Mailing Address - Fax:
Practice Address - Street 1:523 MED CT
Practice Address - Street 2:SUITE 106
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-3359
Practice Address - Country:US
Practice Address - Phone:210-281-5115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-08
Last Update Date:2014-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty