Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mario A Cruz

Individual provider Dental Assistant · NPI 1124633292

Mario A Cruz is a Dental Assistant in South Gate, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020
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Practice location Address checks out

8829 Firestone Plz
South Gate, CA 90280-2612
Phone: (323) 239-8062
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Assistant (primary) Taxonomy 126800000X · Licence RDA92366 (CA)

Record details

NPI number1124633292
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 15, 2020
Last updated in NPPESSeptember 15, 2020
Certification dateSeptember 15, 2020
Mailing address8829 Firestone Plz, South Gate, CA 90280-2612

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