Provider Demographics
NPI:1376758607
Name:LILIANA GARCIA, DDS, PC
Entity Type:Organization
Organization Name:LILIANA GARCIA, DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LILIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:602-228-7007
Mailing Address - Street 1:4344 W INDIAN SCHOOL RD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85031-2984
Mailing Address - Country:US
Mailing Address - Phone:623-846-9200
Mailing Address - Fax:
Practice Address - Street 1:4344 W INDIAN SCHOOL RD
Practice Address - Street 2:SUITE 8
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85031-2984
Practice Address - Country:US
Practice Address - Phone:623-846-9200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ57001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty