Most Relevant Information
Provider Data
  | NPI Number: | 1003549429 | 
| Provider Name: | GRACIA MARIA AMAYA GARCIA DMD | 
| Entity Type: | Individual | 
| Taxonomy Code: | 122300000X | 
| Specialty: | Dentist | 
| License Number: | 11929 | 
Most Important Dates
  | Enumeration Date: | 07/04/2022 | 
| Last Updated: | 07/05/2022 | 
Provider Practice Location
  1513 N JACKSON ST
      
      TULLAHOMA
      TN
      373882343
  Practice Location Phone/Fax
      | Phone: | 6154982260 | 
| Fax: | 
Provider Mailing Location
  917 HARRISON AVE
      
      MURFREESBORO
      TN
      371302608
  Provider Mailing Phone/Fax
      | Phone: | 6154982260 | 
| Fax: |