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Organization
MARIA ELBA GARCIA-IBANCOVICHI DDS
Active
Organization
MARIA ELBA GARCIA-IBANCOVICHI DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA ALICIA ALVAREZ (OFFICE MANAGER)
(214) 946-2277
Entity
Organization
Contact information
Practice address
618 W JEFFERSON BLVD, DALLAS, TX 75208-4724
(214) 946-2277
(214) 941-6068
Mailing address
618 W JEFFERSON BLVD, DALLAS, TX 75208-4724
(214) 946-2277
(214) 941-6068
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16354
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1614059-01
—
TX
01
—
B16354-01
CHIP
TX
Enumeration date
05/01/2007
Last updated
09/29/2011
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