| NPI | 1720182314 |
|---|---|
| Former Name | ANGELICA GARCIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: UT 83975259922) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 22033) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2023-03-07 |