Garza Gongora, Carlos A

Garza Gongora, Carlos A is an individual health care provider with primary practice located at 2320 Towne Lake Parkway Building 1300 Ste 100, Woodstock GA 30189. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Pediatric Dentistry. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Garza Gongora, Carlos A can be contacted via phone (678) 445-5444.

Contact Information

Primary practice address
2320 Towne Lake Parkway Building 1300 Ste 100 Woodstock GA 30189
Phone: (678) 445-5444
Fax: (678) 445-5552
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Pediatric Dentistry 1223P0221X DN013700 Georgia

Profile Details

NPI number 1255439840
LBN Legal business name Garza Gongora, Carlos A
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Aug 14th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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