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Organization

RIVERVIEW DENTAL DESIGNS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSEPH P DIAZ DMD (DENTIST/PRESIDENT)
(205) 345-3400
Entity
Organization

Contact information

Practice address
805 RICE MINE RD N, TUSCALOOSA, AL 35406-2314
(205) 345-3400
Mailing address
805 RICE MINE RD N, TUSCALOOSA, AL 35406-2314
(205) 345-3400

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4367
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1144327370
TYPE 1 NPI
AL
Enumeration date
04/17/2008
Last updated
04/17/2008
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