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Jon Cruz, DDS
NPI 1720063589 · on the registry since 2005 · sole proprietor
Practice
- Address
- 505 Johnson Ave Se
Pine City, MN 55063 - Phone
- (320) 629-2282
- Fax
- (320) 629-3357
- Organisation at this address
- Oak Park Dental Clinic
Oak Park Dental - Pine City Llc
4th Avenue Dental, Pa, Dba Oak Park DentalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-08-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota