Individual
CARLOS A GARZA GONGORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2320 TOWNE LAKE PARKWAY, BUILDING 1300 STE 100, WOODSTOCK, GA 30189
(678) 445-5444
(678) 445-5552
Mailing address
2320 TOWNE LAKE PARKWAY, BUILDING 1300 STE 100, WOODSTOCK, GA 30189
(678) 445-5444
(678) 445-5552
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
DN013700
GA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
08/14/2008
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