DR. Carson Myles Cruise, DMD

NPI #1104208651 in Florence, Alabama

Provider Information

NPI Number: 1104208651
Entity Type: Individual
Name: DR. Carson Myles Cruise, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jun 22, 2015
Last Updated: Jul 28, 2020

Practice Location

Address: 162 ANA DR
City: Florence
State: Alabama
ZIP Code: 35630-1759
Phone: (256) 766-0270

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X

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