Individual
DR. STEPHANIE ANN CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
11019 CULEBRA RD STE 162, SAN ANTONIO, TX 78253-4519
(956) 489-2148
Mailing address
2057 QUITO LOOP, LAREDO, TX 78045-6422
(956) 489-2148
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
40847
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/22/2021
Last updated
08/07/2024
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