Organization
EDUARDO DIAZ DDS PC
Active
Other names
North Park Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDUARDO DIAZ DDS (PRESIDENT)
(619) 220-0548
Entity
Organization
Contact information
Practice address
3795 30TH ST, SAN DIEGO, CA 92104-3631
(619) 220-0548
(619) 220-8604
Mailing address
3795 30TH ST, SAN DIEGO, CA 92104-3631
(619) 220-0548
(619) 220-8604
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
44306
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922157288
DENTICAL NPI
CA
Enumeration date
05/22/2009
Last updated
05/22/2009
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