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Individual

DR. LINDSAY ANN DIAZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
2537 W NORTH AVE, MELROSE PARK, IL 60160-1121
(708) 345-6400
Mailing address
1430 GARNET CT, GURNEE, IL 60031-1999
(847) 401-2925

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019028302
IL

Other

Enumeration date
06/09/2010
Last updated
06/09/2010
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