Individual
DR. JOHN DAVIS DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
805 RICE MINE RD N, TUSCALOOSA, AL 35406-2314
(205) 345-3400
Mailing address
805 RICE MINE RD N, TUSCALOOSA, AL 35406-2314
(205) 345-3400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-0006898-C1
AL
1223G0001X
General Practice Dentistry
D-006896-C1
AL
Other
Enumeration date
02/15/2021
Last updated
09/28/2022
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