Provider Demographics
NPI:1598227035
Name:ARMBRUSTER JACAS, CRISTINA (DMD, MPH)
Entity type:Individual
Prefix:DR
First Name:CRISTINA
Middle Name:
Last Name:ARMBRUSTER JACAS
Suffix:
Gender:F
Credentials:DMD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7140 SAGHEER ST
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34613-6535
Mailing Address - Country:US
Mailing Address - Phone:352-544-9594
Mailing Address - Fax:
Practice Address - Street 1:7140 SAGHEER ST
Practice Address - Street 2:
Practice Address - City:BROOKSVILLE
Practice Address - State:FL
Practice Address - Zip Code:34613-6535
Practice Address - Country:US
Practice Address - Phone:352-544-9594
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-03
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN242101223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty