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Individual

DR. KRISTEN DIAZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
14451 ARDOCH PL, MIAMI LAKES, FL 33016-6403
(305) 556-3743
Mailing address
14451 ARDOCH PL, MIAMI LAKES, FL 33016-6403
(305) 556-3743

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN24502
FL

Other

Enumeration date
06/24/2022
Last updated
06/24/2022
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