Individual
DR. CECILIA C. DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
3714 W EUCLID AVE, TAMPA, FL 33629-8725
(813) 835-8900
(813) 835-8614
Mailing address
3714 W EUCLID AVE, TAMPA, FL 33629-8725
(813) 835-8900
(813) 835-8614
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN17363
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203486602
TAX PAYER ID NUMBER
FL
Enumeration date
06/13/2006
Last updated
11/14/2007
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