# ANDREW DE LA GARZA, JR., DDS, PA

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

## Provider details

- **NPI number:** 1427225812
- **Authorized official:** DR. ANDREW DE LA GARZA JR. DDS (PRESIDENT)
- **Authorized official phone:** (210) 227-1991

## Contact information

- **Practice address:** 315 N SAN SABA, SUITE 925, SAN ANTONIO, TX 78207-3154
- **Practice address phone:** (210) 227-1991
- **Mailing address:** 315 N SAN SABA, SUITE 925, SAN ANTONIO, TX 78207-3154
- **Mailing address phone:** (210) 227-1991

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 11944 | TX | Yes |
| 1223G0001X | General Practice Dentistry | 5943 | TX | — |
| 1223P0221X | Pediatric Dentistry | 15348 | TX | — |

## Other

- **Enumeration date:** 05/14/2008
- **Last updated:** 05/14/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 11944 | DENTAL LICENSE | TX |
| 05 | — | 1209736-02 | — | TX |
| 05 | — | 1332751-02 | — | TX |
| 01 | — | 15348 | DENTAL LICENSE | TX |
| 01 | — | 5943 | DENTAL LICENSE | TX |
| 01 | — | G60035-1 | TEXAS CHIP DELTA DENTAL SERVICES | TX |