Individual
ALEJANDRA GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2280 AMERICAN LEGION BLVD, MOUNTAIN HOME, ID 83647-3142
(208) 587-3988
Mailing address
1280 N 10TH E, MOUNTAIN HOME, ID 83647-1911
(208) 599-0390
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH-3516-RST
ID
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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