Provider Demographics
NPI:1982836227
Name:GARCIA, CECILIA EMILCE (DDS)
Entity Type:Individual
Prefix:DR
First Name:CECILIA
Middle Name:EMILCE
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 1:300 ADAMS ST APT 101
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-2632
Mailing Address - Country:US
Mailing Address - Phone:646-591-9420
Mailing Address - Fax:
Practice Address - Street 1:300 ADAMS ST APT 101
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-2632
Practice Address - Country:US
Practice Address - Phone:646-591-9420
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-20
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI023890001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice