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Organization
LUIS ARTURO CRUZ IBANEZ
Active
Organization
LUIS ARTURO CRUZ IBANEZ
Active
Other names
Cali Baja Medical LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS ARTURO CRUZ IBANEZ DDS (DENTIST)
(619) 488-3200
Entity
Organization
Contact information
Practice address
1041 MARKET ST STE 165, SAN DIEGO, CA 92101-7233
(619) 488-3200
Mailing address
4275 EXECUTIVE SQ STE 200, LA JOLLA, CA 92037-1476
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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