Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARISSA CRANDALL CRUZ, D.M.D., M.S
Active Sole ProprietorMARISSA CRANDALL CRUZ, D.M.D., M.S is a Periodontology healthcare provider located in LEESBURG, Florida. NPI 1194123638 is currently active in the NPPES registry. Verify at CMS.
Periodontology · LEESBURG, FL
Registration Details
- NPI Number
- 1194123638
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 16, 2014 (11.619216903371 yrs)
- Last Updated
- Dec 17, 2019
- Licenses
-
DS039658 (PA)DN23797 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
26540 ACE AVELEESBURG, FL, 347488279Browse FL providers · Browse ZIP 34748
- Phone
- 3523264404
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Periodontology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.