Provider Demographics
NPI:1871221960
Name:GARZA, CATALINA (DDS)
Entity type:Individual
Prefix:
First Name:CATALINA
Middle Name:
Last Name:GARZA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:CATALINA
Other - Middle Name:
Other - Last Name:GONZALEZ RAMIREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:31076 HANOVER LN
Mailing Address - Street 2:
Mailing Address - City:MENIFEE
Mailing Address - State:CA
Mailing Address - Zip Code:92584-8723
Mailing Address - Country:US
Mailing Address - Phone:909-273-1103
Mailing Address - Fax:
Practice Address - Street 1:BLVD BELLAS ARTES 17686-4
Practice Address - Street 2:
Practice Address - City:TIJUANA, BAJA CALIFORNIA, MEXICO
Practice Address - State:BAJA CALIFORNIA
Practice Address - Zip Code:22430
Practice Address - Country:MX
Practice Address - Phone:909-566-0202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-08
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ48097931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice