# 1215 THOMASVILLE GARLAND PROFESSIONAL PLLC

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

## Provider details

- **NPI number:** 1376005322
- **Authorized official:** SHAWNA GARCIA (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (214) 938-3749

## Contact information

- **Practice address:** 1215 THOMASVILLE, GARLAND, TX 75044-3478
- **Practice address phone:** (972) 494-0004
- **Practice address fax:** (972) 414-3765
- **Mailing address:** 1215 THOMASVILLE, GARLAND, TX 75044-3478
- **Mailing address phone:** (972) 494-0004
- **Mailing address fax:** (972) 414-3765

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 04/01/2019
- **Last updated:** 04/01/2019