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Provider Information for 1407865991



RODERICK ANTHONY GARCIA DMD

Gender: MALE

Individual NPI: 1407865991

Calendar Last Updated: 2007-07-08

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
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist NM 1482
Other Identifiers
Issuer State Number
Endpoint Information
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location