Individual
DR. GEORGE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12 EAST PARK AVE, LONG BEACH, NY 11561
(516) 432-7730
(516) 432-5921
Mailing address
12 EAST PARK AVE, LONG BEACH, NY 11561
(516) 432-7730
(516) 432-5921
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
045704
NY
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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