Individual
DR. RICARDO DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
4871 FREDERICKSBURG RD, SAN ANTONIO, TX 78229
(210) 349-5553
(210) 349-5844
Mailing address
4871 FREDERICKSBURG RD, SAN ANTONIO, TX 78229
(210) 349-5553
(210) 349-5844
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
14488
TX
Other
Enumeration date
10/13/2006
Last updated
02/23/2009
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