Provider Demographics
NPI:1619524295
Name:GARCIA, JOANNE SALVADOR (DMD)
Entity Type:Individual
Prefix:DR
First Name:JOANNE
Middle Name:SALVADOR
Last Name:GARCIA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:JOANNE
Other - Middle Name:GUARDIANO
Other - Last Name:SALVADOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6767 BANDERA RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78238-1438
Mailing Address - Country:US
Mailing Address - Phone:512-436-5673
Mailing Address - Fax:
Practice Address - Street 1:6767 BANDERA RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78238-1438
Practice Address - Country:US
Practice Address - Phone:512-436-5673
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-20
Last Update Date:2024-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN18585221223G0001X
TX361241223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice