Provider Demographics
NPI:1730819483
Name:GARCIA, MILDRED NICOLE (DDS)
Entity type:Individual
Prefix:DR
First Name:MILDRED
Middle Name:NICOLE
Last Name:GARCIA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1749 DELAFORD DR
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-3030
Mailing Address - Country:US
Mailing Address - Phone:972-375-1792
Mailing Address - Fax:
Practice Address - Street 1:1300 S LOOP 288 STE 100
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76205-4607
Practice Address - Country:US
Practice Address - Phone:940-484-4313
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-15
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38510122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist