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Individual

DR. CESAR O CRUZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
8014 35TH AVE NE, SEATTLE, WA 98115-4815
(714) 313-8864
(206) 525-4469
Mailing address
8014 35TH AVE NE, SEATTLE, WA 98115-4815
(714) 313-8864
(206) 525-4469

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
3529
AR
1223G0001X
General Practice Dentistry
58136
CA
1223G0001X
General Practice Dentistry
Primary
DE60231280
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DE60231280
DENTAL LICENSE
WA
Enumeration date
12/14/2006
Last updated
07/21/2016
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