Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223P0221X | Pediatric Dentist | 21057 | MA |
Y | 1223P0221X | Pediatric Dentist | DN16341 | FL |
NPI | 1023180171 |
---|---|
Provider Name | Dr. Oscar Vicente Garcia |
First Address | Miami Lakes, FL 33014-2123 |
Second Address | Miami Lakes, FL 33014-2123 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2006 |
Last Update Date | 03/08/2017 |