Organization
HIRAM A GARCIA DENTAL IMPLANTS AND ORAL SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HIRAM AMADO GARCIA-RIVERA DMD (OWNER)
(818) 462-1703
Entity
Organization
Contact information
Practice address
19472 US ROUTE 11, WATERTOWN, NY 13601-5387
(818) 462-1703
Mailing address
PO BOX 49, WATERTOWN, NY 13601-0049
(818) 462-1703
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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