Mrs. Angelica Cruz
Dental Assistant
1213 Coffee Rd Ste D
Modesto
, California 95355-4229
Mrs. Angelica Cruz
Dental Assistant
1213 Coffee Rd Ste D
Modesto
, California 95355-4229
(209) 522-4703
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Mrs. Angelica Cruz
- 1213 Coffee Rd Ste D
- Modesto, CA
- Zip : 95355-4229
- Fax : (209) 522-4703
- Phone : (209) 522-5238
Second Address
- Mrs. Angelica Cruz
- 1213 Coffee Rd Ste D
- Modesto, CA
- Zip : 95355-4229
- Fax : (209) 522-4703
- Phone : (209) 522-5238
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 126800000X | Dental Assistant |
National Provider Identifier
| NPI | 1033250287 |
|---|---|
| Provider Name | Mrs. Angelica Cruz |
| First Address | Modesto, CA 95355-4229 |
| Second Address | Modesto, CA 95355-4229 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/02/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.