Provider Demographics
NPI:1134449093
Name:MARIA CRISTINAGARANZUAY, DDS, PC
Entity type:Organization
Organization Name:MARIA CRISTINAGARANZUAY, DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:CRISTINA
Authorized Official - Last Name:GARANZUAY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:210-653-4410
Mailing Address - Street 1:4932 WINDSOR HL
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78239-2431
Mailing Address - Country:US
Mailing Address - Phone:210-653-4410
Mailing Address - Fax:210-653-5287
Practice Address - Street 1:4932 WINDSOR HL
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78239-2431
Practice Address - Country:US
Practice Address - Phone:210-653-4410
Practice Address - Fax:210-653-5287
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-02
Last Update Date:2010-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX228871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty