NPI | 1467967422 |
---|---|
Doing Business As | MICHAEL DE LA CRUZ, JR., D.M.D. INC |
Entity Type | Organization |
Authorized Contact | MICHAEL LUNA DE LA CRUZ President 951-486-9179 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 38829) |
Enumeration Date | 2017-12-12 |
Last Update Date | 2017-12-12 |