Provider Demographics
NPI:1043922875
Name:VERDECIA GARCIA, LLAIMARYS HILDA
Entity type:Individual
Prefix:
First Name:LLAIMARYS
Middle Name:HILDA
Last Name:VERDECIA GARCIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LLAIMARYS
Other - Middle Name:HILDA
Other - Last Name:VERDECIA GARCIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12330 NW 29TH MNR
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33323-1548
Mailing Address - Country:US
Mailing Address - Phone:786-443-8071
Mailing Address - Fax:
Practice Address - Street 1:6134 WHITE HORSE RD STE C
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29611-3847
Practice Address - Country:US
Practice Address - Phone:864-295-2744
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-26
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC111121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice