MEDICARE: DR. KIMBERLY ANN GARCIA D.D.S.

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	122300000X	Dentist	DE00007673	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912022047
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KIMBERLY ANN GARCIA D.D.S.

Provider Business Mailing Address
First Line	:	810 REKDAL RD
Second Line	:
City	:	CAMANO ISLAND
State	:	WA
Zip	:	98282-8852
Country	:	US
Telephone Number	:	360-629-4097
Fax Number	:	360-629-3906

Provider Business Practice Location Address
First Line	:	810 REKDAL RD
Second Line	:
City	:	CAMANO ISLAND
State	:	WA
Zip	:	98282-8852
Country	:	US
Telephone Number	:	360-629-4097
Fax Number	:	360-629-3906

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

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	06/18/2020

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Directions to “ DR. KIMBERLY ANN GARCIA D.D.S.” Practice Location

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