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Organization
INGRID MACK CRUZ DDS A PROFESSIONAL DENTAL CORPORATION
Active
Organization
INGRID MACK CRUZ DDS A PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. INGRID MACK CRUZ (DENTIST)
(909) 947-0670
Entity
Organization
Contact information
Practice address
2598 S ARCHIBALD AVE STE C, ONTARIO, CA 91761-6500
(909) 947-0670
(909) 999-8089
Mailing address
2598 S ARCHIBALD AVE STE C, ONTARIO, CA 91761-6500
(909) 947-0670
(909) 673-0527
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
53243
CA
Other
Enumeration date
08/11/2011
Last updated
04/20/2016
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