Individual
DR. DAVID ALAN DIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1911 JOHNSON RD, SUITE # 1, GRANITE CITY, IL 62040-3835
(618) 877-3434
(618) 877-3434
Mailing address
1911 JOHNSON RD, SUITE # 1, GRANITE CITY, IL 62040-3835
(618) 877-3434
(618) 877-3434
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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