Individual
MONICA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
405 W. FITH STREET, #300, SANTA ANA, CA 92701
(714) 935-8127
Mailing address
405 W. FITH STREET, #300, SANTA ANA, CA 92701
(714) 935-8127
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
39932
CA
Other
Enumeration date
05/22/2012
Last updated
05/22/2012
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