Organization
SONRISAS DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ENRIQUE CRUZ D.D.S., M.S. (OWNER)
(512) 593-7970
Entity
Organization
Contact information
Practice address
1130 COTTONWOOD CREEK TRL, #A1, CEDAR PARK, TX 78613-7588
(512) 593-7970
Mailing address
1130 COTTONWOOD CREEK TRL, #A1, CEDAR PARK, TX 78613-7588
(512) 593-7970
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
29766
TX
1223P0700X
Prosthodontics
27862
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
27824
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
29766
TX
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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