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NPI Code Detail

MEDICARE: DR. MIGUEL GARCIA DDS

MEDICARE: DR. MIGUEL GARCIA DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentistD7033AZ

General Provider Information

NPI Number : 1265517866
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MIGUEL GARCIA DDS
Provider Business Mailing Address
First Line : 7007 E GOLD DUST AVE APT 2043
Second Line :
City : PARADISE VALLEY
State : AZ
Zip : 85253-4510
Country : US
Telephone Number : 602-403-2768
Fax Number :
Provider Business Practice Location Address
First Line : 4616 N 51ST AVE STE 111
Second Line :
City : PHOENIX
State : AZ
Zip : 85031-1720
Country : US
Telephone Number : 623-873-2434
Fax Number : 623-873-2061
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2006
Last Update Date : 08/16/2007

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Directions to “ DR. MIGUEL GARCIA DDS” Practice Location

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