Individual
DR. DANIELA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
4940 HAMRICK RD, CENTRAL POINT, OR 97502-3072
(541) 512-3900
Mailing address
4940 HAMRICK RD, CENTRAL POINT, OR 97502-3072
(541) 512-3900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D008825
AZ
122300000X
Dentist
Primary
D9992
OR
Other
Enumeration date
11/13/2013
Last updated
01/28/2014
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