Individual
DR. DANIEL DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
758 PARAMOUNT WAY, BRICK, NJ 08724-1161
(732) 836-1908
Mailing address
794 FRANKLIN AVENUE, SUITE 202, FRANKLIN LAKES, NJ 07417
(018) 088-7002
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
22DI02840000
NJ
Other
Enumeration date
05/15/2015
Last updated
10/25/2024
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