Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | DH22330 | FL |
NPI | 1003417296 |
---|---|
Provider Name | Irene Saharai Garcia |
First Address | Palm Springs, FL 33461-2549 |
Second Address | Lantana, FL 33462-1459 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/11/2020 |
Last Update Date | 04/11/2020 |