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Individual
DR. EMMANUEL JOSE AMUNDARAY DIAZ
Active
Individual
DR. EMMANUEL JOSE AMUNDARAY DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30025184
OH
122300000X
Dentist
Primary
3420
PR
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
060843
NY
Other
Enumeration date
05/16/2016
Last updated
02/28/2023
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