Individual provider · Type 1 NPI

Miryam Nathalia Garcia, DDS

Periodontics · Alton, IL

NPI number 1104191881 Active

Practice location

2800 College Ave
Alton, IL 62002-4742

Mailing address

632 Amberwood Ln
Ballwin, MO 63021-5888

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X136000125 (IL)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1104191881

Miryam Nathalia Garcia, DDS's National Provider Identifier is 1104191881, issued on Mar 14, 2012. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Alton, IL. The record was last updated on Mar 14, 2012.