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Organization

ELIZABETH GARCIA, DDS PROF. DENTAL CORP.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELIZABETH GARCIA DDS (PRESIDENT/DENTIST OWNER)
(323) 564-1745
Entity
Organization

Contact information

Practice address
4170 TWEEDY BLVD, SOUTH GATE, CA 90280-6147
(323) 564-1745
(323) 564-1779
Mailing address
4170 TWEEDY BLVD, SOUTH GATE, CA 90280-6147
(323) 564-1745
(323) 564-1779

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
#47078
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
B47078
CA
Enumeration date
03/08/2010
Last updated
03/08/2010
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