| Dr. Cruz Dental Office | |
|
2406 W Edinger Ave Ste. A Santa Ana CA 92704-3544 | |
| (714) 556-1000 | |
| (714) 556-1208 |
| Full Name | Dr. Cruz Dental Office |
|---|---|
| Speciality | Dentist |
| Location | 2406 W Edinger Ave, Santa Ana, California |
| Authorized Official Name and Position | Edwin P Cruz (PRESIDENT) |
| Authorized Official Contact | 7145561000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Cruz Dental Office 2406 W Edinger Ave Ste. A Santa Ana CA 92704-3544 Ph: (714) 556-1000 | Dr. Cruz Dental Office 2406 W Edinger Ave Ste. A Santa Ana CA 92704-3544 Ph: (714) 556-1000 |
| NPI Number | 1982761631 |
|---|---|
| Provider Enumeration Date | 01/02/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8527325398 |
|---|---|
| Medicare Enrollment ID | O20191023003141 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982761631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 42293 (California) | Primary |
| Provider Name | Josephine Dumalaog-cruz |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1912064668 PECOS PAC ID: 7315238243 Enrollment ID: I20191023003358 |
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