Cruz, Omar R

Cruz, Omar R is an individual health care provider with primary practice located at 1426 W Belmont Ave , Chicago IL 60657-6898. He recently has only one registered license in Dental Providers / Prosthodontics, which is considered as his primary health care specialty. Cruz, Omar R can be contacted via phone (773) 528-0068.

Contact Information

Primary practice address
1426 W Belmont Ave Chicago IL 60657-6898
Phone: (773) 528-0068
Fax: (773) 528-0088
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Prosthodontics 1223P0700X 019027075 Illinois

Profile Details

NPI number 1659565232
LBN Legal business name Cruz, Omar R
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2007
Last updated Sep 5th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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