Provider Demographics
NPI:1235426818
Name:GARLICK, STEVEN W (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:W
Last Name:GARLICK
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 1:6501 GRAND RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-7479
Mailing Address - Country:US
Mailing Address - Phone:210-849-0823
Mailing Address - Fax:
Practice Address - Street 1:9411 ALAMEDA AVE STE P
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79907-5620
Practice Address - Country:US
Practice Address - Phone:915-858-6868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-05
Last Update Date:2011-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX25079122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist