Provider Demographics
NPI:1457644692
Name:REINA P. GARCIA, DMD PC
Entity Type:Organization
Organization Name:REINA P. GARCIA, DMD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:REINA
Authorized Official - Middle Name:P
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:978-443-5500
Mailing Address - Street 1:321 BOSTON POST RD
Mailing Address - Street 2:SUITE 4A-4B
Mailing Address - City:SUDBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01776-3025
Mailing Address - Country:US
Mailing Address - Phone:978-443-5500
Mailing Address - Fax:
Practice Address - Street 1:321 BOSTON POST RD
Practice Address - Street 2:SUITE 4A-4B
Practice Address - City:SUDBURY
Practice Address - State:MA
Practice Address - Zip Code:01776-3025
Practice Address - Country:US
Practice Address - Phone:978-443-5500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-20
Last Update Date:2014-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN191211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty