Provider Demographics
NPI:1831276039
Name:GARCIA, EMILIO E (DDS, PC)
Entity type:Individual
Prefix:DR
First Name:EMILIO
Middle Name:E
Last Name:GARCIA
Suffix:
Gender:M
Credentials:DDS, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 E YOSEMITE AVE
Mailing Address - Street 2:
Mailing Address - City:MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:93638-3342
Mailing Address - Country:US
Mailing Address - Phone:559-673-1830
Mailing Address - Fax:559-664-1776
Practice Address - Street 1:500 E YOSEMITE AVE
Practice Address - Street 2:
Practice Address - City:MADERA
Practice Address - State:CA
Practice Address - Zip Code:93638-3342
Practice Address - Country:US
Practice Address - Phone:559-673-1830
Practice Address - Fax:559-664-1776
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2010-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA335781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice