# RANDALL E GARCIA DDSC

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

## Provider details

- **NPI number:** 1538278049
- **Authorized official:** MRS. ANNETTE G GARCIA (OFFICE MANAGER)
- **Authorized official phone:** (505) 454-8148

## Contact information

- **Practice address:** 1950 7TH ST, LAS VEGAS, NM 87701-4956
- **Practice address phone:** (505) 454-8148
- **Practice address fax:** (505) 454-4746
- **Mailing address:** 1950 7TH ST, LAS VEGAS, NM 87701-4956
- **Mailing address phone:** (505) 454-8148
- **Mailing address fax:** (505) 454-4746

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 1701 | NM | Yes |

## Other

- **Enumeration date:** 08/29/2006
- **Last updated:** 08/22/2020