Provider Demographics
NPI:1386038529
Name:GARCIA-PERRY, PATRICIA (DENTAL ASSISTANT)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:GARCIA-PERRY
Suffix:
Gender:F
Credentials:DENTAL ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3620 FAIRMOUNT ST
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-4709
Mailing Address - Country:US
Mailing Address - Phone:682-465-3676
Mailing Address - Fax:
Practice Address - Street 1:3620 FAIRMOUNT ST
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75219-4709
Practice Address - Country:US
Practice Address - Phone:682-465-3676
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-25
Last Update Date:2015-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11638126800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes126800000XDental ProvidersDental Assistant