# MERCEDES AYBAR-DIAZ, DDS, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043309057
- **Authorized official:** DR. OSCAR DIAZ JR. (BUSINESS ADMINISTRATOR)
- **Authorized official phone:** (919) 431-9111

## Contact information

- **Practice address:** 6308 FALLS OF NEUSE RD, SUITE 400, RALEIGH, NC 27615-6807
- **Practice address phone:** (919) 431-9111
- **Practice address fax:** (919) 431-9155
- **Mailing address:** 6308 FALLS OF NEUSE RD, SUITE 400, RALEIGH, NC 27615-6807
- **Mailing address phone:** (919) 431-9111
- **Mailing address fax:** (919) 431-9155

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7247 | NC | Yes |

## Other

- **Enumeration date:** 10/11/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 90173 | NC HEALTHCHOISE | NC |