Organization
BUCKEYE DENTAL OF TAVERNIER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OSMANI DIAZ DDS (GENERAL PARTNER)
(954) 632-8100
Entity
Organization
Contact information
Practice address
91750 OVERSEAS HWY, TAVERNIER, FL 33070-2642
(305) 852-3219
(305) 852-9016
Mailing address
91750 OVERSEAS HWY, TAVERNIER, FL 33070-2642
(305) 852-3219
(305) 852-9016
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN12310
FL
Other
Enumeration date
12/08/2009
Last updated
12/08/2009
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