Provider Demographics
NPI:1184434789
Name:ESMERLDA GARZA RDHAP INC
Entity type:Organization
Organization Name:ESMERLDA GARZA RDHAP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ESMERALDA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARZA
Authorized Official - Suffix:
Authorized Official - Credentials:RDHAP
Authorized Official - Phone:661-428-2747
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:661-428-2747
Mailing Address - Fax:661-792-4041
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:661-428-2747
Practice Address - Fax:661-792-4041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-07
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes124Q00000XDental ProvidersDental HygienistGroup - Single Specialty