# A. RODRIGUEZ-CRUZ,DDS,INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255808648
- **Authorized official:** MAYRA A CASTELLON (SECRETARY)
- **Authorized official phone:** (909) 825-2175

## Contact information

- **Practice address:** 827 W VALLEY BLVD, COLTON, CA 92324-2001
- **Practice address phone:** (909) 825-2175
- **Practice address fax:** (909) 825-0964
- **Mailing address:** 425 E ARROW HWY \# 724, GLENDORA, CA 91740-5607
- **Mailing address phone:** (909) 825-2175
- **Mailing address fax:** (909) 825-0964

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 10/24/2018
- **Last updated:** 10/24/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1992837652 | — | CA |