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General NPI Number Information
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NPI Number | 1003924267
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Entity Type | Organization
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Legal Business Name | GOLIAD DENTAL CARE
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Dates
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Enumeration Date | 08/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 317 S MARKET
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City | GOLIAD
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State | TX
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Zip | 77963
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Country | US
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Telephone | 361-645-2381
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Fax | 361-645-3996
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Provider Business Mailing Address
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Address Line | PO BOX 1480 317 S MARKET
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City | GOLIAD
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State | TX
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Zip | 77963
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Country | US
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Telephone | 361-645-2381
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Fax | 361-645-3996
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Authorized Official
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Title or Position | MD
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Name | DR. DANIEL N GARZA
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Credential | DDS
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Telephone | 361-645-2381
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 10400
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License Number State | TX
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