Individual
RODOLFO DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
32750 GRAND RIVER AVE, FARMINGTON, MI 48336-3133
(248) 476-6200
(248) 476-4642
Mailing address
5050 SCHAEFER RD, DEARBORN, MI 48126-3249
(313) 582-8150
(313) 582-6015
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901019304
MI
Other
Enumeration date
08/06/2008
Last updated
08/06/2008
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