Individual
DR. ALFONZO CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1229 PROVIDENCE BLVD, DELTONA, FL 32725-7362
(386) 574-8388
Mailing address
6751 CALISTOGA CIR, PORT ORANGE, FL 32128-4033
(386) 631-6471
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN22921
FL
Other
Enumeration date
07/18/2017
Last updated
07/18/2017
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