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Organization
ETHEL CRUZ DMD INC
Active
Organization
ETHEL CRUZ DMD INC
Active
Other names
Smile Now Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ETHEL S CRUZ (OWNER)
(909) 548-4844
Entity
Organization
Contact information
Practice address
5814 RIVERSIDE DRIVE, CHINO, CA 91710
(909) 548-4844
(909) 548-0774
Mailing address
5814 RIVERSIDE DRIVE, CHINO, CA 91710
(909) 548-4844
(909) 548-0774
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
51913
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G9416101
—
CA
Enumeration date
06/06/2007
Last updated
06/17/2008
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