Provider Demographics
NPI:1225221179
Name:GARCIA, ANGEL ARTHUR (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANGEL
Middle Name:ARTHUR
Last Name:GARCIA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9101 PARK DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI SHORES
Mailing Address - State:FL
Mailing Address - Zip Code:33138-3159
Mailing Address - Country:US
Mailing Address - Phone:305-754-0062
Mailing Address - Fax:305-759-4464
Practice Address - Street 1:9101 PARK DR
Practice Address - Street 2:
Practice Address - City:MIAMI SHORES
Practice Address - State:FL
Practice Address - Zip Code:33138-3159
Practice Address - Country:US
Practice Address - Phone:305-754-0062
Practice Address - Fax:305-759-4464
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-23
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN14443122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist