MEDICARE: DR. LAUREN GABRIELLE 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
1	1223G0001X	General Practice Dentistry	41026	TX

General Provider Information

NPI Number	:	1427873132
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAUREN GABRIELLE GARCIA DDS

Provider Business Mailing Address
First Line	:	5270 N O'CONNOR BLVD
Second Line	:	APARTMENT 1303
City	:	IRVING
State	:	TX
Zip	:	75039
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3154 S HIGHWAY 161 STE 640
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75052-7687
Country	:	US
Telephone Number	:	972-890-0718
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/18/2024
Last Update Date	:	11/18/2024

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