Whalio Doctors

NPI 1003044082

Gandy S Garcia, DDS

Practitioner General Practice Dentistry Chicago, IL

Practice location

Address
3915 W 26th St, Chicago, IL 60623-3704
Phone
(773) 522-2929
Fax
(773) 522-2930
Mailing address
1216 N 24th Ave, Melrose Park, IL 60160-3017

Registered specialties (2)

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence 019028036 (IL)
Dentist
Dental Providers Taxonomy 122300000X Licence 019028036 (IL)

Registry record

NPI
1003044082
Entity type
Individual
Sex (as registered)
Female
NPI issued
29 Jun 2009
Record last updated
29 Jun 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.