Provider Demographics
NPI:1124337761
Name:GARCIA, MARIA ELENA HUGO (RDH)
Entity type:Individual
Prefix:MISS
First Name:MARIA ELENA
Middle Name:HUGO
Last Name:GARCIA
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:AM HEINDLEWEIHER 1
Mailing Address - Street 2:
Mailing Address - City:TRABITZ
Mailing Address - State:BAVARIA
Mailing Address - Zip Code:92724
Mailing Address - Country:DE
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:CMR 415
Practice Address - Street 2:BOX 3650
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09114-3650
Practice Address - Country:US
Practice Address - Phone:0964-183-1720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-30
Last Update Date:2010-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22H100865600124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist