# DIAZ AND GILES PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Marketplace Dental Group and Orthodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518280346
- **Authorized official:** MRS. MARIA DIAZ (REGISTERED AGENT)
- **Authorized official phone:** (936) 441-4455

## Contact information

- **Practice address:** 402 SIMONTON ST, SUITE \# 100, CONROE, TX 77301-2666
- **Practice address phone:** (936) 441-4455
- **Mailing address:** 402 SIMONTON STREET, SUITE \# 100, CONROE, TX 77301
- **Mailing address phone:** (936) 441-4455

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | TX | Yes |

## Other

- **Enumeration date:** 03/08/2010
- **Last updated:** 03/08/2010