Individual
ANICETO DE LA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
910 WAGNER AVE, SAN ANTONIO, TX 78211-3213
(210) 922-7000
(210) 923-7929
Mailing address
3750 COMMERCIAL AVE, SAN ANTONIO, TX 78221-3117
(210) 922-7000
(210) 923-7929
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
03/04/2019
Last updated
03/04/2019
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