Provider Demographics
NPI:1811222615
Name:CARLOS O GARCIA DMD, PC
Entity Type:Organization
Organization Name:CARLOS O GARCIA DMD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:O
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:956-968-1090
Mailing Address - Street 1:1116 E 8TH ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-7288
Mailing Address - Country:US
Mailing Address - Phone:956-968-1090
Mailing Address - Fax:956-447-9449
Practice Address - Street 1:1116 E 8TH ST
Practice Address - Street 2:SUITE 4
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-7288
Practice Address - Country:US
Practice Address - Phone:956-968-1090
Practice Address - Fax:956-447-9449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-12
Last Update Date:2009-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18735122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty