Organization
JONATHAN GARCIA DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN GARCIA (OWNER)
(503) 405-1155
Entity
Organization
Contact information
Practice address
670 NW EASTMAN PKWY, GRESHAM, OR 97030-7255
(503) 405-1155
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/10/2018
Last updated
04/10/2018
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