| NPI | 1770168098 |
|---|---|
| Former Legal Business Name | LUIS A CRUZ |
| Entity Type | Organization |
| Authorized Contact | LUIS A CRUZ Dentist 619-488-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2021-03-17 |
| Last Update Date | 2021-03-17 |