Provider Demographics
NPI:1871614313
Name:GARCIA, DANIEL L (DDS)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:L
Last Name:GARCIA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10642 DOWNEY AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-3442
Mailing Address - Country:US
Mailing Address - Phone:562-923-6226
Mailing Address - Fax:
Practice Address - Street 1:10642 DOWNEY AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-3442
Practice Address - Country:US
Practice Address - Phone:562-923-6226
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CABG342791223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice