Organization
CRUZ GENERAL DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIREILLE CRUZ DMD (PRESIDENT)
(315) 469-1712
Entity
Organization
Contact information
Practice address
5217 S SALINA ST, SYRACUSE, NY 13205-3019
(315) 469-1712
Mailing address
5217 S SALINA ST, SYRACUSE, NY 13205-3019
(315) 469-1712
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
054191
NY
Other
Enumeration date
07/06/2014
Last updated
07/06/2014
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