Individual provider · Type 1 NPI

Marissa Crandall Cruz, DMD, M.S

Periodontics · Leesburg, FL

NPI number 1194123638 Active

Practice location

26540 Ace Ave
Leesburg, FL 34748-8279

Call (352) 326-4404 Map

Mailing address

949 N 14th St
Leesburg, FL 34748-3838

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XDS039658 (PA)
Periodontics Primary 1223P0300XDN23797 (FL)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

9 other providers at this address

About NPI 1194123638

Marissa Crandall Cruz, DMD, M.S's National Provider Identifier is 1194123638, issued on Dec 16, 2014. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Leesburg, FL. The record was last updated on Dec 17, 2019.