LUIS LAURO RETA DE LA GARZA

SANTA MARIA, CA
NPI1649969403
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  108652)
Enumeration Date2023-05-05
Last Update Date2023-05-05
Business Address
LUIS LAURO RETA DE LA GARZA
620 W MAIN ST
SANTA MARIA, CA 93458-5035
Phone number: 805-926-6154
Mailing Address
LUIS LAURO RETA DE LA GARZA
1023 HENRY AVE APT I
SANTA MARIA, CA 93455-8405
Phone number: 805-621-9669
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