Organization
DAVID M. DIAZ DENTAL CORPORATION
Active
Other names
Redlands Childrens Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID M DIAZ D.D.S. (OWNER)
(909) 798-2755
Entity
Organization
Contact information
Practice address
308 W STATE ST STE 4A, REDLANDS, CA 92373-4626
(909) 798-2755
(909) 307-2098
Mailing address
1801 NEWPORT BLVD, COSTA MESA, CA 92627
(949) 548-5588
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
30642
CA
Other
Enumeration date
04/16/2007
Last updated
09/19/2007
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