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MA. CONCESA LAZARO CRUZ DMD
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1952601718
Individual Registrant: MA. CONCESA LAZARO CRUZ DMD
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
16018 AMAR RD CITY OF INDUSTRY, CA 91744-2203 US
Tel: 626-780-1968 Fax: --
Tel: 626-780-1968 Fax: --
Contact information for business:
17128 COLIMA RD # 420 HACIENDA HEIGHTS, CA 91745-6769 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1952601718
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 122300000X | Dental Providers Dentist | CA | 46773 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
