Provider Demographics
NPI:1164546602
Name:GARCIA, D. GEORGINA (DMD)
Entity Type:Individual
Prefix:MS
First Name:D.
Middle Name:GEORGINA
Last Name:GARCIA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2075 NE 120TH RD
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33181-3321
Mailing Address - Country:US
Mailing Address - Phone:305-335-5439
Mailing Address - Fax:
Practice Address - Street 1:407 LINCOLN RD
Practice Address - Street 2:SUITE 8A
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-3020
Practice Address - Country:US
Practice Address - Phone:305-538-2088
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN85231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice