Individual provider · Type 1 NPI

Carola De la Cruz, DDS

Pediatric Dentistry · Leesburg, VA

NPI number 1902057979 Active

Practice location

1509 Dodona Ter, Suite 105A
Leesburg, VA 20175-4709

Mailing address

1509 Dodona Ter Ste 105A
Leesburg, VA 20175-4709

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X0401412920 (VA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1902057979

Carola De la Cruz, DDS's National Provider Identifier is 1902057979, issued on Oct 8, 2008. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Leesburg, VA. The record was last updated on Feb 11, 2019.