Individual
LAURA E CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3380 LA SIERRA AVE, RIVERSIDE, CA 92503-5271
(424) 209-4648
Mailing address
3878 LAFAYETTE ST, RIVERSIDE, CA 92503-3822
(714) 588-4612
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
81927
CA
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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