Individual
DR. ANIER DIAZ VIDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
511 N PROVIDENCE RD, MEDIA, PA 19063-2599
(610) 565-0525
Mailing address
1314 N HANCOCK ST, PHILADELPHIA, PA 19122-4523
(561) 273-3931
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS044093
PA
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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