Organization
EDUARDO DIAZ DDS PC
Active
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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