Provider Demographics
NPI:1578931705
Name:JAVIER GARCIA DDS., INC
Entity Type:Organization
Organization Name:JAVIER GARCIA DDS., INC
Other - Org Name:METROPOLITAN DENTAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAVIER
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-562-4891
Mailing Address - Street 1:6343 EASTERN AVE STE B
Mailing Address - Street 2:
Mailing Address - City:BELL GARDENS
Mailing Address - State:CA
Mailing Address - Zip Code:90201-1605
Mailing Address - Country:US
Mailing Address - Phone:323-562-4891
Mailing Address - Fax:323-562-4898
Practice Address - Street 1:6343 EASTERN AVE STE B
Practice Address - Street 2:
Practice Address - City:BELL GARDENS
Practice Address - State:CA
Practice Address - Zip Code:90201-1605
Practice Address - Country:US
Practice Address - Phone:323-562-4891
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-03
Last Update Date:2015-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA414081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty