| NPI | 1427108331 |
|---|---|
| Former Name | AUGUSTO CESAR GARCIA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: PR 1423) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: WV 4306) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2025-12-11 |