NPI Index

CARLOS GARZA GONGORA, DDS

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1255439840

Practice Address

2320 TOWNE LAKE PARKWAY
BUILDING 1300 STE 100
Woodstock, GA 30189

Phone: (678) 445-5444

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -
Dentist - Pediatric Dentistry 1223P0221X No DN013700 (GA)

Frequently Asked Questions

NPI 1255439840 is the National Provider Identifier for CARLOS GARZA GONGORA, DDS, a Student in an Organized Health Care Education/Training Program provider located in Woodstock, GA. This NPI was enumerated on September 20, 2006.
CARLOS GARZA GONGORA, DDS practices at 2320 TOWNE LAKE PARKWAY, BUILDING 1300 STE 100, Woodstock, GA 30189.

Quick Facts

NPI
1255439840
Type
Individual
Enumerated
Sep 20, 2006
Last Updated
Aug 14, 2008

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