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1174120463
OWEN RUSSELL CRUZ
MENIFEE, CA
NPI
1174120463
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA DDS105444)
Enumeration Date
2020-10-08
Last Update Date
2020-10-08
Business Address
OWEN RUSSELL CRUZ DDS
29121 NEWPORT RD STE 101
MENIFEE, CA 92584-5121
Phone number: 951-228-9296
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Mailing Address
OWEN RUSSELL CRUZ DDS
11672 LARGO CT
LOMA LINDA, CA 92354-3973
Phone number: 949-836-9552
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