MEDICARE: MS. D. GEORGINA GARCIA DMD

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	DN8523	FL

General Provider Information

NPI Number	:	1164546602
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. D. GEORGINA GARCIA DMD

Provider Business Mailing Address
First Line	:	2075 NE 120TH RD
Second Line	:
City	:	NORTH MIAMI
State	:	FL
Zip	:	33181-3321
Country	:	US
Telephone Number	:	305-335-5439
Fax Number	:

Provider Business Practice Location Address
First Line	:	407 LINCOLN RD
Second Line	:	SUITE 8A
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-3020
Country	:	US
Telephone Number	:	305-538-2088
Fax Number	:

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

Provider Enumeration Date	:	03/19/2007
Last Update Date	:	07/08/2007

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