Individual
GUSTAVO ALI GARZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
600 E GRIFFIN PKWY STE A, MISSION, TX 78572-2980
(956) 583-9600
Mailing address
500 N BRYAN RD UNIT A18, MISSION, TX 78572-8880
(956) 638-0152
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
36398
TX
Other
Enumeration date
07/30/2020
Last updated
07/31/2020
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