Individual
KATHRYN NGUYEN CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 IDA AVE, BAY CITY, TX 77414-3144
(979) 245-2008
(979) 217-8829
Mailing address
101 AVENUE F, BAY CITY, TX 77414
(979) 217-8829
(979) 217-8829
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
23154
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23154
DENTAL HYGENIST
TX
Enumeration date
12/08/2022
Last updated
12/08/2022
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