Individual
JOSE CARLOS GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2636 E DOMINGUEZ ST, LONG BEACH, CA 90810
(562) 277-3407
Mailing address
2636 E DOMINGUEZ ST, LONG BEACH, CA 90810
(562) 277-3407
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
86400
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86400
—
CA
Enumeration date
09/23/2016
Last updated
09/23/2016
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