Individual
EDSY ZULEYKA CRUZ PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
605 RANDOLPH RD, FORT SILL, OK 73503-4535
(580) 442-2263
Mailing address
4301 WILSON ST, FORT SILL, OK 73503-4472
(580) 442-0063
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7744
OK
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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