| Ingrid Mack Cruz Dds A Professional Dental Corporation | |
|
2598 S Archibald Ave Ste C Ontario CA 91761-6500 | |
| (909) 947-0670 | |
| (909) 999-8089 |
| Full Name | Ingrid Mack Cruz Dds A Professional Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2598 S Archibald Ave Ste C, Ontario, California |
| Authorized Official Name and Position | Ingrid Mack Cruz (DENTIST) |
| Authorized Official Contact | 9099470670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ingrid Mack Cruz Dds A Professional Dental Corporation 2598 S Archibald Ave Ste C Ontario CA 91761-6500 Ph: (909) 947-0670 | Ingrid Mack Cruz Dds A Professional Dental Corporation 2598 S Archibald Ave Ste C Ontario CA 91761-6500 Ph: (909) 947-0670 |
| NPI Number | 1114206828 |
|---|---|
| Provider Enumeration Date | 08/11/2011 |
| Last Update Date | 04/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114206828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 53243 (California) | Primary |
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