Provider Demographics
NPI:1760620215
Name:GARCIA DENTAL INC
Entity Type:Organization
Organization Name:GARCIA DENTAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DDS
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:F
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:CARLOS F GARCIA
Authorized Official - Phone:619-690-9318
Mailing Address - Street 1:1270 PICADOR BLVD
Mailing Address - Street 2:SUITE L,M
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92154
Mailing Address - Country:US
Mailing Address - Phone:619-690-9318
Mailing Address - Fax:619-690-9389
Practice Address - Street 1:1270 PICADOR BVLD.
Practice Address - Street 2:SUITE L,M
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92154
Practice Address - Country:US
Practice Address - Phone:619-690-9318
Practice Address - Fax:619-690-9389
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-21
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty