Individual
JOSSEELAINE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
80 PHOENIX AVE, WATERBURY, CT 06702-1418
(203) 756-8021
(203) 597-8860
Mailing address
1302 S MAIN ST, WATERBURY, CT 06706-1748
(203) 756-8021
(203) 596-9038
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
008430
CT
Other
Enumeration date
08/21/2015
Last updated
08/21/2015
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