Provider Demographics
NPI:1437276946
Name:PARAS, ARISTEDES CRUZ (DDS)
Entity Type:Individual
Prefix:DR
First Name:ARISTEDES
Middle Name:CRUZ
Last Name:PARAS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1061 SATURN BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92154-2051
Mailing Address - Country:US
Mailing Address - Phone:619-863-0836
Mailing Address - Fax:619-863-0893
Practice Address - Street 1:1061 SATURN BLVD STE 103
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92154-2051
Practice Address - Country:US
Practice Address - Phone:619-863-0836
Practice Address - Fax:619-863-0893
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA423941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice