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Organization

DENTAL CORPORATION OF RODRIGUEZ CRUZ DDS

Active
Other names
Full Dental, Office of Alberto Rodriguez Cruz
Organization subpart
No

Provider details

NPI number
Authorized official
ALBERTO RODRIGUEZ CRUZ DDS (PRESIDENT/OWNER)
(760) 750-5262
Entity
Organization

Contact information

Practice address
79440 CORPORATE CENTER DR., #103, LA QUINTA, CA 92253
(760) 564-7716
(760) 564-8625
Mailing address
79440 CORPORATE CENTER DR., #103, LA QUINTA, CA 92253
(760) 564-7716
(760) 564-8625

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
12/21/2018
Last updated
12/21/2018
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