Individual
DR. LIZABETH FANEGA DELACRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
11 EAGLE PARK DRIVE EAST, EAGLE, CO 81631-8163
(970) 328-1075
Mailing address
PO BOX 3538, EAGLE, CO 81631-3538
(970) 328-1075
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
202989
CO
1223G0001X
General Practice Dentistry
20624
TX
Other
Enumeration date
05/05/2008
Last updated
03/28/2023
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