Provider Demographics
NPI:1710502083
Name:DELA CRUZ, ARIANA (DMD)
Entity Type:Individual
Prefix:DR
First Name:ARIANA
Middle Name:
Last Name:DELA CRUZ
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121A MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02474-2525
Mailing Address - Country:US
Mailing Address - Phone:617-961-2781
Mailing Address - Fax:
Practice Address - Street 1:35 COURT ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02108-2100
Practice Address - Country:US
Practice Address - Phone:617-402-5000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-12
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADL14457122300000X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist