Individual
DR. CAROLA DE LA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1509 DODONA TER, SUITE 105A, LEESBURG, VA 20175-4709
(571) 293-0244
Mailing address
1509 DODONA TER STE 105A, LEESBURG, VA 20175-4709
(571) 293-0244
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401412920
VA
Other
Enumeration date
10/08/2008
Last updated
02/11/2019
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