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Organization
E.S. CRUZ, DMD, INC
Active
Organization
E.S. CRUZ, DMD, INC
Active
Other names
SmileNOW Dental Group, SmileNOW Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELMER C TOLENTINO (SECRETARY)
(951) 735-7300
Entity
Organization
Contact information
Practice address
1760 W 6TH ST STE 100A, CORONA, CA 92882-2790
(951) 735-3000
Mailing address
1760 W 6TH ST STE 101, CORONA, CA 92882-2790
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
11/01/2007
Last updated
06/13/2020
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