Organization
DAVID M. DIAZ, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERESA D. BATTISTA (MANAGER)
(714) 835-2383
Entity
Organization
Contact information
Practice address
1109 W 17TH ST, SANTA ANA, CA 92706-3505
(714) 835-2383
(714) 835-3917
Mailing address
1109 W 17TH ST, SANTA ANA, CA 92706-3505
(714) 835-2383
(714) 835-3917
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30642
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SOCIAL SECURITY NUMBER
CA
Enumeration date
05/31/2007
Last updated
08/22/2020
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