Organization
ENRIQUE DAZA MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ENRIQUE DAZA RACINES MD (PRESIDENT)
(301) 312-2301
Entity
Organization
Contact information
Practice address
5602B SHIELDS DR, BETHESDA, MD 20817-3571
(301) 897-0044
(301) 897-0046
Mailing address
5602B SHIELDS DR, BETHESDA, MD 20817-3571
(301) 897-0044
(301) 897-0046
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D42181
MD
Other
Enumeration date
06/03/2014
Last updated
09/10/2014
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