Organization
JAVIER ALFONSO DE LA CRUZ, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAVIER ALFONSO DE LA CRUZ DMD (DENTIST/OWNER)
(407) 927-3788
Entity
Organization
Contact information
Practice address
12611 BONITA BEACH RD, SUITE #3, BONITA SPRINGS, FL 34134
(239) 488-1313
(239) 488-1033
Mailing address
14025 HAWKS EYE CT, ESTERO, FL 33928-9153
(407) 927-3788
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/19/2025
Last updated
09/19/2025
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