# HIRAM A GARCIA DENTAL IMPLANTS AND ORAL SURGERY PLLC

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

## Provider details

- **NPI number:** 1437780442
- **Authorized official:** DR. HIRAM AMADO GARCIA-RIVERA DMD (OWNER)
- **Authorized official phone:** (818) 462-1703

## Contact information

- **Practice address:** 19472 US ROUTE 11, WATERTOWN, NY 13601-5387
- **Practice address phone:** (818) 462-1703
- **Mailing address:** PO BOX 49, WATERTOWN, NY 13601-0049
- **Mailing address phone:** (818) 462-1703

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 01/29/2020
- **Last updated:** 01/29/2020