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Individual
DR. ROEL GARZA
Active
Individual
DR. ROEL GARZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17020
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11241902
—
TX
01
—
87D471
BCBS
TX
01
—
UC886411
UNITED CONCORDIA
TX
Enumeration date
06/06/2007
Last updated
06/10/2008
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