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Individual

DR. VIVIAN DIAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BDS

Contact information

Practice address
1395 CENTER DR RM D8-18B, GAINESVILLE, FL 32610-3006
(805) 428-4577
Mailing address
1777 SW 72ND CIR, GAINESVILLE, FL 32607-1021
(805) 428-4577

Taxonomy

Speciality
Code
Description
License number
State
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
DRPM2169
FL

Other

Enumeration date
07/15/2020
Last updated
07/15/2020
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