Provider Demographics
NPI:1598449852
Name:LORES CRUZ, JULIO CESAR (DDS)
Entity Type:Individual
Prefix:
First Name:JULIO
Middle Name:CESAR
Last Name:LORES CRUZ
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 1:1823 CREEK DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77080-6820
Mailing Address - Country:US
Mailing Address - Phone:281-935-2997
Mailing Address - Fax:
Practice Address - Street 1:7506 N NAVARRO ST
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77904-2654
Practice Address - Country:US
Practice Address - Phone:281-935-2997
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX39541122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist