Provider Demographics
NPI:1508601477
Name:GARCIA, GLORIA ANA (DDS)
Entity type:Individual
Prefix:DR
First Name:GLORIA
Middle Name:ANA
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 1:1000 RANCHWAY DR APT 7
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78045-6372
Mailing Address - Country:US
Mailing Address - Phone:956-236-8077
Mailing Address - Fax:
Practice Address - Street 1:2600 CEDAR AVE
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78040-4040
Practice Address - Country:US
Practice Address - Phone:956-523-7500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX40735122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist