Individual
MRS. BERTHA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDAEF
Contact information
Practice address
160 CAPP ST, SAN FRANCISCO, CA 94110-1210
(415) 621-8056
(415) 621-1429
Mailing address
160 CAPP ST, SAN FRANCISCO, CA 94110-1210
(415) 621-8056
(415) 621-1429
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
AEF 330
CA
Other
Enumeration date
04/25/2012
Last updated
04/25/2012
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