Individual
PATRICIA ORTIZ DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
801 WELLS BRANCH PARKWAY SUITE 150, PFLUGERVILLE, TX 78660
(787) 420-0942
Mailing address
801 WELLS BRANCH PARKWAY SUITE 150, PFLUGERVILLE, TX 78660
(512) 720-6612
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
058292
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
36967
TX
Other
Enumeration date
04/14/2014
Last updated
11/20/2022
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