Individual
JUAN CARLOS CRUZ ALZATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
950 WASHINGTON ST NW, GAINESVILLE, GA 30501-3542
(770) 534-6933
Mailing address
950 WASHINGTON ST NW, GAINESVILLE, GA 30501-3542
(770) 534-6933
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN015569
GA
Other
Enumeration date
03/05/2018
Last updated
03/05/2018
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