Individual
DR. AMY DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4130 W JEFFERSON ST, JOLIET, IL 60431-4720
(815) 744-4333
Mailing address
510 BEATTIE ST, ELWOOD, IL 60421-9783
(779) 875-9600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.034332
IL
Other
Enumeration date
06/23/2023
Last updated
06/26/2023
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