Individual
ILSE ALANI DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
223 E 14TH ST STE 100, HASTINGS, NE 68901-3240
(402) 519-5517
(308) 382-4376
Mailing address
2116 W FAIDLEY AVE STE 2100, GRAND ISLAND, NE 68803-4602
(308) 210-2433
(308) 382-4376
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
3329
NE
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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