Provider Demographics
NPI:1245359462
Name:GARCIA, MARTIN G (DDS)
Entity type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:G
Last Name:GARCIA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:743 S FLORES ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78204-1350
Mailing Address - Country:US
Mailing Address - Phone:210-225-3333
Mailing Address - Fax:
Practice Address - Street 1:743 S FLORES ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78204-1350
Practice Address - Country:US
Practice Address - Phone:210-225-3333
Practice Address - Fax:210-923-8554
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2020-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX138721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice