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Organization

OSMANI DIAZ DDS PA

Active
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Organization

OSMANI DIAZ DDS PA

Active
Other names
Diaz Restorative Dentistry & Orthodontics
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JOSEFINA DIAZ (OFFICE MANAGER)
(954) 437-9288
Entity
Organization

Contact information

Practice address
650 NW 180TH TER STE 103, PEMBROKE PINES, FL 33029-2825
(954) 437-9288
(954) 437-7929
Mailing address
650 NW 180TH TER STE 103, PEMBROKE PINES, FL 33029-2825
(954) 437-9288
(954) 437-7929

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN12310
FL

Other

Enumeration date
09/04/2012
Last updated
09/04/2012
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