Organization
MERCEDES AYBAR-DIAZ, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OSCAR DIAZ JR. (BUSINESS ADMINISTRATOR)
(919) 431-9111
Entity
Organization
Contact information
Practice address
6308 FALLS OF NEUSE RD, SUITE 400, RALEIGH, NC 27615-6807
(919) 431-9111
(919) 431-9155
Mailing address
6308 FALLS OF NEUSE RD, SUITE 400, RALEIGH, NC 27615-6807
(919) 431-9111
(919) 431-9155
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7247
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
90173
NC HEALTHCHOISE
NC
Enumeration date
10/11/2006
Last updated
08/22/2020
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