Provider Demographics
NPI:1215134952
Name:GARCES, CAROLINA (DMD)
Entity type:Individual
Prefix:DR
First Name:CAROLINA
Middle Name:
Last Name:GARCES
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11712 SW 95TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-2136
Mailing Address - Country:US
Mailing Address - Phone:267-738-1545
Mailing Address - Fax:
Practice Address - Street 1:3945 SW 92ND AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-4156
Practice Address - Country:US
Practice Address - Phone:305-220-0066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-27
Last Update Date:2008-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN183841223G0001X
PADS0373751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice