Individual
JOSE GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DEN1002120
DC
1223P0221X
Pediatric Dentistry
16994
MD
1223P0221X
Pediatric Dentistry
Primary
30.027973
OH
1223P0221X
Pediatric Dentistry
62055
KS
Other
Enumeration date
06/07/2019
Last updated
05/23/2025
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