| Maria A. Cruz-agustin D.d.s Inc | |
|
1950 S Grove Ave Ste 106a Ontario CA 91761-5693 | |
| (909) 930-1197 | |
| (909) 930-1233 |
| Full Name | Maria A. Cruz-agustin D.d.s Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1950 S Grove Ave Ste 106a, Ontario, California |
| Authorized Official Name and Position | Sam Agustin (CEO) |
| Authorized Official Contact | 9099301197 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maria A. Cruz-agustin D.d.s Inc 1950 S Grove Ave Ste 106a Ontario CA 91761-5693 Ph: (909) 930-1197 | Maria A. Cruz-agustin D.d.s Inc 1950 S Grove Ave Ste 106a Ontario CA 91761-5693 Ph: (909) 930-1197 |
| NPI Number | 1205053220 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 07/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205053220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | BL00065456 (California) | Primary |
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