Provider Demographics
NPI:1972801678
Name:GARCIA, SARA LIDIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:LIDIA
Last Name:GARCIA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3257 N MEADOW MINE PL
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85745-4168
Mailing Address - Country:US
Mailing Address - Phone:415-860-0123
Mailing Address - Fax:
Practice Address - Street 1:3971 E PARADISE FALLS DR
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-6690
Practice Address - Country:US
Practice Address - Phone:520-296-5801
Practice Address - Fax:520-296-7554
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-03
Last Update Date:2019-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA60226122300000X
AZD008178122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist