Individual
DR. FEDERICO DIEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
12600 PEMBROKE RD, SUITE 314, MIRAMAR, FL 33027-2544
(954) 505-7631
(954) 505-7633
Mailing address
4581 WESTON RD # 321, WESTON, FL 33331-3141
(305) 725-3426
(954) 517-1592
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN 14284
FL
1223P0700X
Prosthodontics
Primary
14284
FL
Other
Enumeration date
10/19/2006
Last updated
09/29/2021
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