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Individual

ANDRES MANUEL CRUZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
6839 COLLIER BLVD STE 103, NAPLES, FL 34114-3632
(239) 465-4568
Mailing address
8150 SW 88TH CT, MIAMI, FL 33173-4149
(305) 310-5644

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN24273
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DN24273
FLORIDA LICENSE NUMBER
FL
Enumeration date
06/18/2019
Last updated
06/18/2019
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