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General NPI Number Information
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NPI Number | 1639028046
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Entity Type | Organization
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Legal Business Name | DE LA CRUZ DENTAL
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Dates
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Enumeration Date | 01/27/2026
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 9 CAMINO PANORAMICO
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City | TRUJILLO ALTO
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State | PR
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Zip | 00976-6088
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Country | US
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Telephone | 939-579-0196
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Fax |
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Provider Business Mailing Address
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Address Line | 9 CAMINO PANORAMICO
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City | TRUJILLO ALTO
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State | PR
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Zip | 00976-6088
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Country | US
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Telephone | 939-579-0196
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LUZ M M DE LA CRUZ MARTINEZ
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Credential | DMD
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Telephone | 939-579-0196
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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