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Carlos A Garza Gongora, DDS
Pediatric Dentist in Woodstock, Georgia
NPI 1255439840

Carlos A Garza Gongora is a Pediatric Dentist based in Woodstock, GA and is specialized in Pediatric Dentistry. Carlos A Garza Gongora practices in Woodstock, GA and has the professional credentials of DDS. The NPI Number for Carlos A Garza Gongora is 1255439840 and holds a License No. (Georgia).

The current practice location address for Carlos A Garza Gongora is 2320 Towne Lake Parkway, Woodstock, GA and can be reached out via phone at 678-445-5444 and via fax at 678-445-5552.

Location: 2320 Towne Lake Parkway, Woodstock, GA, 30189
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255439840
Provider Name
Carlos A Garza Gongora
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2320 Towne Lake Parkway, Woodstock, GA, 30189
Phone Number
678-445-5444
Fax Number
678-445-5552
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2320 Towne Lake Parkway
City
Woodstock
State
Georgia
Zip
30189
Phone Number
678-445-5444
Fax Number
678-445-5552
person
Provider Business Mailing Address Details
Address
2320 Towne Lake Parkway
City
Woodstock
State
Georgia
Zip
30189
Phone Number
678-445-5444
Fax Number
678-445-5552
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DN013700 (Georgia)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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