Individual
DR. JOSE ESTEBAN DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
109 EAST 167TH STREET, BRONX, NY 10452-8204
(516) 356-6381
(718) 466-0782
Mailing address
109 E 167TH ST, BRONX, NY 10452-8204
(516) 356-6381
(718) 466-0782
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
052045
NY
Other
Enumeration date
11/24/2008
Last updated
11/24/2008
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