Provider Demographics
NPI:1013737774
Name:GARCIA, SYLVIA ELIZABETH (RDH)
Entity type:Individual
Prefix:
First Name:SYLVIA
Middle Name:ELIZABETH
Last Name:GARCIA
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19091 GOLETA ST
Mailing Address - Street 2:
Mailing Address - City:HESPERIA
Mailing Address - State:CA
Mailing Address - Zip Code:92345-6455
Mailing Address - Country:US
Mailing Address - Phone:909-562-8890
Mailing Address - Fax:
Practice Address - Street 1:19091 GOLETA ST
Practice Address - Street 2:
Practice Address - City:HESPERIA
Practice Address - State:CA
Practice Address - Zip Code:92345-6455
Practice Address - Country:US
Practice Address - Phone:909-361-3656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-16
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARDH36408124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist