Individual
CARLOS M CRUZ CHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
221 PARK HILL DR, FREDERICKSBURG, VA 22401-3361
(540) 228-9200
Mailing address
11319 TYRELL CT, FREDERICKSBURG, VA 22407-1766
(860) 707-0646
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401413975
VA
Other
Enumeration date
06/11/2008
Last updated
07/07/2022
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