Individual
DR. ENRIQUE CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
115 SANDRA MURAIDA WAY, APT 631, AUSTIN, TX 78703-4696
(317) 362-4592
Mailing address
115 SANDRA MURAIDA WAY, APT 631, AUSTIN, TX 78703-4696
(317) 362-4592
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
29766
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
29766
TX
Other
Enumeration date
03/17/2014
Last updated
03/17/2014
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