Individual
MARIA V DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
14729 FERRARA CT, BONITA SPRINGS, FL 34135-8294
(239) 221-7110
Mailing address
PO BOX 51992, TOA BAJA, PR 00950-1992
(787) 269-1442
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN22329
FL
Other
Enumeration date
05/02/2012
Last updated
07/21/2022
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