Individual
IVETTE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1901 KIRBY ST, SUITE 103, PEARLAND, TX 77584-5704
(713) 436-8988
Mailing address
1901 KIRBY ST, SUITE 103, PEARLAND, TX 77584-5704
(713) 436-8988
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
20798
TX
Other
Enumeration date
01/10/2007
Last updated
07/17/2007
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