Individual
GANDY S GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3915 W 26TH ST, CHICAGO, IL 60623-3704
(773) 522-2929
(773) 522-2930
Mailing address
1216 N 24TH AVE, MELROSE PARK, IL 60160-3017
(773) 732-3477
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019028036
IL
1223G0001X
General Practice Dentistry
Primary
019028036
IL
Other
Enumeration date
06/29/2009
Last updated
06/29/2009
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