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MICHAEL DE LA CRUZ JR.. D.M.D. INC. NPI 1467967422


NPI Information

NPI: 1467967422
Provider Name: MICHAEL DE LA CRUZ, JR.. D.M.D. INC.

Doing Business As: MICHAEL DE LA CRUZ, JR., D.M.D. INC

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
12085 HEACOCK ST
MORENO VALLEY, CA
ZIP 92557
Phone: (951) 486-9179
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MICHAEL DE LA CRUZ, JR.. D.M.D. INC. is a general practice dentist in Moreno Valley, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MICHAEL DE LA CRUZ, JR.. D.M.D. INC. NPI is 1467967422. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Michael De La Cruz, Jr., D.m.d. Inc.

The provider's business location address is:

12085 HEACOCK ST
MORENO VALLEY, CA
ZIP 92557-102
Phone: (951) 486-9179
Fax: (951) 486-9527

The provider's authorized official is Michael Luna De La Cruz .
The authorized official title is President and has the following contact phone number (951) 486-9179.

The enumeration date for this NPI number is 12/12/2017 and was last updated on 12/12/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice38829CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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