MEDICARE: RONALD GARZA

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	1223P0221X	Pediatric Dentistry	14634	TX

General Provider Information

NPI Number	:	1932267952
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONALD GARZA

Provider Business Mailing Address
First Line	:	9757 WHITE ROCK TRL
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75238-1805
Country	:	US
Telephone Number	:	214-349-9400
Fax Number	:	469-762-4052

Provider Business Practice Location Address
First Line	:	9757 WHITE ROCK TRL
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75238-1805
Country	:	US
Telephone Number	:	214-349-9400
Fax Number	:	469-762-4052

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

Provider Enumeration Date	:	12/04/2006
Last Update Date	:	03/17/2018

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Directions to “ RONALD GARZA ” Practice Location

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