Marissa Crandall Cruz, D.M.D., M.S

NPI #1194123638 in Leesburg, Florida

Provider Information

NPI Number: 1194123638
Entity Type: Individual
Name: Marissa Crandall Cruz, D.M.D., M.S
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Periodontics
Credential: D.M.D., M.S
Enumeration Date: Dec 16, 2014
Last Updated: Dec 17, 2019

Practice Location

Address: 26540 ACE AVE
City: Leesburg
State: Florida
ZIP Code: 34748-8279
Phone: (352) 326-4404

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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