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Organization
MICHAEL DE LA CRUZ, JR.. D.M.D. INC.
Active
Organization
MICHAEL DE LA CRUZ, JR.. D.M.D. INC.
Active
Other names
Michael De La Cruz, Jr., D.M.D. Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL LUNA DE LA CRUZ JR. D.M.D. (PRESIDENT)
(951) 486-9179
Entity
Organization
Contact information
Practice address
12085 HEACOCK ST, MORENO VALLEY, CA 92557-7102
(951) 486-9179
(951) 486-9527
Mailing address
12085 HEACOCK ST, MORENO VALLEY, CA 92557-7102
(951) 486-9179
(951) 486-9527
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
38829
CA
Other
Enumeration date
12/12/2017
Last updated
12/12/2017
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