Most Relevant Information
Provider Data
| NPI Number: | 1003044082 |
| Provider Name: | GANDY S GARCIA D.D.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 019028036 |
Most Important Dates
| Enumeration Date: | 06/29/2009 |
| Last Updated: | 06/29/2009 |
Provider Practice Location
3915 W 26TH ST
CHICAGO
IL
606233704
Practice Location Phone/Fax
| Phone: | 7735222929 |
| Fax: | 7735222930 |
Provider Mailing Location
1216 N 24TH AVE
MELROSE PARK
IL
601603017
Provider Mailing Phone/Fax
| Phone: | 7737323477 |
| Fax: |