Healthcare Provider Details

I. General information

NPI: 1225149479
Provider Name (Legal Business Name): MARIA G. GARCIA DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 12/14/2023
Certification Date: 12/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 CEDAR
LAREDO TX
78044-2337
US

IV. Provider business mailing address

PO BOX 40397
SAN ANTONIO TX
78229-3900
US

V. Phone/Fax

Practice location:
  • Phone: 210-567-3274
  • Fax: 210-567-2844
Mailing address:
  • Phone: 210-567-3274
  • Fax: 210-567-2844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number20200
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number20200
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: