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Individual

DR. DANIEL DIONISIO DIAZ JIMENEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
AVE PONCE DE LEON 123 BO AMELIA, GUAYNABO, PR 00965
(787) 273-0918
Mailing address
PO BOX 810119, CAROLINA, PR 00981-0119
(787) 273-0918
(787) 273-0918

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2749
PR
261QD0000X
Dental Clinic/Center
Primary
2749
PR

Other

Enumeration date
06/27/2007
Last updated
01/25/2013
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