Individual
MRS. ITZIA ERAZO-CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DENTAL ASSISTANT
Contact information
Practice address
ROSSY Y PARQUE ST TERMINAL TOMAS KUILAN, BAYAMON, PR 00960-0000
(787) 780-7288
Mailing address
PO BOX 9501, BAYAMON, PR 00960-9501
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
2838
PR
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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