Individual
DR. DAVID MICHAEL DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1801 NEWPORT BLVD STE B, COSTA MESA, CA 92627-2701
(949) 548-5588
(949) 548-5731
Mailing address
1801 NEWPORT BLVD STE B, COSTA MESA, CA 92627-2701
(949) 548-5588
(949) 548-5731
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30642
CA
Other
Enumeration date
08/25/2006
Last updated
07/08/2007
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