Owen Russell Cruz, DDS

NPI #1174120463 in Menifee, California

Provider Information

NPI Number: 1174120463
Entity Type: Individual
Name: Owen Russell Cruz, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Oct 8, 2020
Last Updated: Oct 8, 2020

Practice Location

Address: 29121 NEWPORT RD STE 101
City: Menifee
State: California
ZIP Code: 92584-5121
Phone: (951) 228-9296

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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