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Individual
JOSEPH GARCIA
Active
Individual
JOSEPH GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
60555369
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
03/09/2015
Last updated
07/02/2015
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