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NPI Code Detail

MEDICARE: JAVIER GARCIA DDS., INC

MEDICARE: JAVIER GARCIA DDS., INC
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
11223G0001XGeneral Practice Dentistry41408CA

General Provider Information

NPI Number : 1578931705
Entity Type Code : Organization
Provider Name (Legal Business Name) : JAVIER GARCIA DDS., INC
Provider Business Mailing Address
First Line : 6343 EASTERN AVE STE B
Second Line :
City : BELL GARDENS
State : CA
Zip : 90201-1605
Country : US
Telephone Number : 323-562-4891
Fax Number : 323-562-4898
Provider Business Practice Location Address
First Line : 6343 EASTERN AVE STE B
Second Line :
City : BELL GARDENS
State : CA
Zip : 90201-1605
Country : US
Telephone Number : 323-562-4891
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MR. JAVIER GARCIA
Credential :
Telephone Number : 323-562-4891
Provider Enumeration Date : 09/03/2015
Last Update Date : 09/03/2015

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Directions to “JAVIER GARCIA DDS., INC ” Practice Location

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