DR. Dominique Carreon Dela Cruz, DMD

NPI #1154809598 in Las Vegas, Nevada

Provider Information

NPI Number: 1154809598
Entity Type: Individual
Name: DR. Dominique Carreon Dela Cruz, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jul 28, 2018
Last Updated: Jun 19, 2020

Practice Location

Address: 5670 W FLAMINGO RD STE B
City: Las Vegas
State: Nevada
ZIP Code: 89103-2338
Phone: (702) 364-2373

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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