Individual provider · Type 1 NPI

Carlos A. Garza Gongora, DDS

Student in an Organized Health Care Education/Training Program · Woodstock, GA

NPI number 1255439840 Active

Practice location

2320 Towne Lake Parkway, Building 1300 Ste 100
Woodstock, GA 30189

Call (678) 445-5444 Map

Fax (678) 445-5552

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Pediatric Dentistry 1223P0221XDN013700 (GA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Other student in an organized health care education/training program providers in Woodstock

See all in Woodstock →

About NPI 1255439840

Carlos A. Garza Gongora, DDS's National Provider Identifier is 1255439840, issued on Sep 20, 2006. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Woodstock, GA. The record was last updated on Aug 14, 2008.