| Ryan Ray Dela Cruz Dds Inc | |
|
1555 Webster St Ste B Fairfield CA 94533-4934 | |
| (707) 673-2570 | |
| Not Available |
| Full Name | Ryan Ray Dela Cruz Dds Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1555 Webster St Ste B, Fairfield, California |
| Authorized Official Name and Position | Ryan Ray Rabago Dela Cruz (OWNER/DENTIST) |
| Authorized Official Contact | 7076732570 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Ray Dela Cruz Dds Inc 1555 Webster St Ste B Fairfield CA 94533-4934 Ph: (707) 673-2570 | Ryan Ray Dela Cruz Dds Inc 1555 Webster St Ste B Fairfield CA 94533-4934 Ph: (707) 673-2570 |
| NPI Number | 1245624873 |
|---|---|
| Provider Enumeration Date | 03/20/2015 |
| Last Update Date | 03/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245624873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 63758 (California) | Primary |
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