# DMA WELLNESS CENTER CORP.

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

## Provider details

- **NPI number:** 1417815689
- **Authorized official:** DAGMAR DE LA CRUZ (MANAGING DIRECTOR)
- **Authorized official phone:** (786) 752-0846

## Contact information

- **Practice address:** 3430 E FLAMINGO RD STE 307, LAS VEGAS, NV 89121-5066
- **Practice address phone:** (786) 752-0846
- **Practice address fax:** (702) 846-4112
- **Mailing address:** 3430 E FLAMINGO RD STE 307, LAS VEGAS, NV 89121-5066
- **Mailing address phone:** (786) 752-0846
- **Mailing address fax:** (702) 846-4112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084B0040X | Behavioral Neurology & Neuropsychiatry Physician | — | NULL | — |
| 2084B0040X | Behavioral Neurology & Neuropsychiatry Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/14/2026
- **Last updated:** 01/20/2026