Individual
DR. ALBERTO RODRIGUEZ CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
79440 CORPORATE CENTER DR, SUITE 103, LA QUINTA, CA 92253-7241
(760) 564-7716
(760) 564-8625
Mailing address
79440 CORPORATE CENTER DR, SUITE 103, LA QUINTA, CA 92253-7241
(760) 564-7716
(760) 564-8625
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
48006
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B 48006-01
—
CA
05
—
B48006-02
—
CA
Enumeration date
03/09/2007
Last updated
03/03/2016
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