Provider Demographics
NPI:1376395558
Name:GARCIA ESTHETIC DENTISTRY PLLC
Entity Type:Organization
Organization Name:GARCIA ESTHETIC DENTISTRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:915-990-2186
Mailing Address - Street 1:7451 PASEO DEL NORTE
Mailing Address - Street 2:STE A400
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79911
Mailing Address - Country:US
Mailing Address - Phone:915-990-2186
Mailing Address - Fax:915-200-2893
Practice Address - Street 1:7451 PASEO DEL NORTE
Practice Address - Street 2:STE A400
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79911
Practice Address - Country:US
Practice Address - Phone:915-990-2186
Practice Address - Fax:915-200-2893
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-02
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental