Individual
PEDRO A GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
675 S AVENUE B BLDG B, YUMA, AZ 85364-2749
(928) 329-5430
(928) 783-0688
Mailing address
675 S AVENUE B BLDG B, YUMA, AZ 85364-2749
(928) 819-8999
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H009433
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
AZ
Enumeration date
08/05/2021
Last updated
08/05/2021
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