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Provider Information for 1407865991

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

RODERICK ANTHONY GARCIA DMD

Gender: MALE

Individual NPI: 1407865991

Calendar   Last Updated:  2007-07-08
  Certification Date: 

Details

Name Value
NPI 1407865991
Enumeration Date 2006-08-05
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 7007 WYOMING NE D2
ALBUQUERQUE, NM 87109
United States

Phone: 505-821-6119 | Fax: 505-821-9459
View Map External Link
Primary Practice Address 7007 WYOMING NE D2
ALBUQUERQUE, NM 87109
United States

Phone: 505-821-6119 | Fax: 505-821-9459
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist NM 1482