Individual
FARAH A DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
750 E 25TH ST, HIALEAH, FL 33013-3817
(305) 694-5400
(305) 541-0333
Mailing address
2301 SW 16TH AVE, MIAMI, FL 33145-3927
(786) 619-5393
(305) 541-0333
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN20362
FL
Other
Enumeration date
05/10/2011
Last updated
08/21/2013
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