Individual
PATRICIA I DIAZ-MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
263 FARMINGTON AVE # MC2820, FARMINGTON, CT 06030-2820
(860) 679-3170
(860) 679-8162
Mailing address
263 FARMINGTON AVE # MC2820, FARMINGTON, CT 06030-2820
(860) 679-3170
(860) 679-8162
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
10005
CT
Other
Enumeration date
03/02/2010
Last updated
01/08/2015
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