Individual
KRISTINE VINCENT CRUZ ANGELES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
115 CALLE PORAL, SIERRA VISTA, AZ 85635
(520) 459-3011
(520) 364-4261
Mailing address
1205 N F AVE, DOUGLAS, AZ 85607-1920
(520) 364-6852
(520) 364-4261
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D010393
AZ
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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