| Alfonso Cruz Dmd Pa | |
|
1657 Taylor Rd Ste 106 Port Orange FL 32128-7516 | |
| (386) 631-6471 | |
| Not Available |
| Full Name | Alfonso Cruz Dmd Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1657 Taylor Rd Ste 106, Port Orange, Florida |
| Authorized Official Name and Position | Alfonso Cruz (DENTIST) |
| Authorized Official Contact | 3866316471 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alfonso Cruz Dmd Pa 1657 Taylor Rd Ste 106 Port Orange FL 32128-7516 Ph: (386) 631-6471 | Alfonso Cruz Dmd Pa 1657 Taylor Rd Ste 106 Port Orange FL 32128-7516 Ph: (386) 631-6471 |
| NPI Number | 1730826249 |
|---|---|
| Provider Enumeration Date | 05/16/2022 |
| Last Update Date | 05/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730826249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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