Individual
NELSON JAVIAR DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5316 CENTRAL FLORIDA PKWY, ORLANDO, FL 32821-8772
(407) 239-9557
Mailing address
926 GREAT POND DR, SUITE 2003, ALTAMONTE SPRINGS, FL 32714-7244
(407) 772-5124
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN16154
FL
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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