# DANIEL N DELA CRUZ DMD PLLC

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

## Provider details

- **NPI number:** 1588297329
- **Authorized official:** DR. DANIEL NIEL DELA CRUZ DMD, BSN (CEO/GENERAL DENTIST)
- **Authorized official phone:** (775) 722-4823

## Contact information

- **Practice address:** 15409 W GREENWAY RD STE 100, SURPRISE, AZ 85374-4368
- **Practice address phone:** (623) 546-3511
- **Mailing address:** 15409 W GREENWAY RD STE 100, SURPRISE, AZ 85374-4368
- **Mailing address phone:** (623) 546-3511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | — |
| 122300000X | Dentist | — | — | — |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 124Q00000X | Dental Hygienist | — | NULL | — |
| 124Q00000X | Dental Hygienist | — | — | — |
| 126800000X | Dental Assistant | — | NULL | — |
| 126800000X | Dental Assistant | — | — | — |
| 261QD0000X | Dental Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 02/20/2020
- **Last updated:** 10/02/2024