Organization
RANDALL E GARCIA DDSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNETTE G GARCIA (OFFICE MANAGER)
(505) 454-8148
Entity
Organization
Contact information
Practice address
1950 7TH ST, LAS VEGAS, NM 87701-4956
(505) 454-8148
(505) 454-4746
Mailing address
1950 7TH ST, LAS VEGAS, NM 87701-4956
(505) 454-8148
(505) 454-4746
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1701
NM
Other
Enumeration date
08/29/2006
Last updated
08/22/2020
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