# 956 DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134979727
- **Authorized official:** DR. LOUIS ALFONSO GARCIA SR. DDS (SOLE OWNER)
- **Authorized official phone:** (956) 286-5674

## Contact information

- **Practice address:** 3311 E DEL MAR BLVD STE 102, LAREDO, TX 78041-2449
- **Practice address phone:** (956) 508-2480
- **Mailing address:** 7550 COUNTRY CLUB DR APT 10104, LAREDO, TX 78041-3252
- **Mailing address phone:** (956) 286-5674

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/25/2024
- **Last updated:** 04/28/2024
