Provider Demographics
NPI:1891068516
Name:GARZA, ESMERALDA (RDHAP)
Entity Type:Individual
Prefix:MS
First Name:ESMERALDA
Middle Name:
Last Name:GARZA
Suffix:
Gender:F
Credentials:RDHAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1471
Mailing Address - Street 2:
Mailing Address - City:MC FARLAND
Mailing Address - State:CA
Mailing Address - Zip Code:93250-0071
Mailing Address - Country:US
Mailing Address - Phone:661-808-0576
Mailing Address - Fax:
Practice Address - Street 1:121 W KERN AVE
Practice Address - Street 2:
Practice Address - City:MC FARLAND
Practice Address - State:CA
Practice Address - Zip Code:93250-1348
Practice Address - Country:US
Practice Address - Phone:661-808-0576
Practice Address - Fax:661-792-4041
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-10
Last Update Date:2021-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22502/392124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist