Individual
DENISE CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 SUMMER ST, STAMFORD, CT 06905-5132
(203) 324-6171
Mailing address
66 EDGEWOOD ST, STRATFORD, CT 06615-5605
(203) 400-3467
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
007967
CT
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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