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Organization
FRIZ J DIAZ, DDS, INC.
Active
Organization
FRIZ J DIAZ, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERWIN DIAZ (OFFICE MANAGER)
(916) 480-0522
Entity
Organization
Contact information
Practice address
77 CADILLAC DR, SUITE 165, SACRAMENTO, CA 95825-5453
(916) 480-0522
(916) 480-0524
Mailing address
77 CADILLAC DR, SUITE 165, SACRAMENTO, CA 95825-5453
(916) 480-0522
(916) 480-0524
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
44669
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G92052-01
DENTI-CAL
CA
Enumeration date
08/12/2015
Last updated
08/12/2015
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