Individual
DR. KELLY DIAZ NOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
5033 NW 7TH ST APT 612, MIAMI, FL 33126-3443
(786) 921-9415
Mailing address
5033 NW 7TH ST APT 612, MIAMI, FL 33126-3443
(786) 921-9415
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN30752
FL
1223G0001X
General Practice Dentistry
DN30752
FL
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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