Individual
JON E CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
505 JOHNSON AVE SE, PINE CITY, MN 55063-2108
(320) 629-2282
(320) 629-3357
Mailing address
505 JOHNSON AVE SE, PINE CITY, MN 55063-2108
(320) 629-2282
(320) 629-3357
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11488
MN
Other
Enumeration date
12/14/2005
Last updated
08/07/2013
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