MEDICARE: DR. ANGEL ARTHUR 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	122300000X	Dentist	DN14443	FL

General Provider Information

NPI Number	:	1225221179
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANGEL ARTHUR GARCIA DDS

Provider Business Mailing Address
First Line	:	9101 PARK DR
Second Line	:
City	:	MIAMI SHORES
State	:	FL
Zip	:	33138-3159
Country	:	US
Telephone Number	:	305-754-0062
Fax Number	:	305-759-4464

Provider Business Practice Location Address
First Line	:	9101 PARK DR
Second Line	:
City	:	MIAMI SHORES
State	:	FL
Zip	:	33138-3159
Country	:	US
Telephone Number	:	305-754-0062
Fax Number	:	305-759-4464

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

Provider Enumeration Date	:	08/23/2007
Last Update Date	:	08/07/2023

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