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Individual

HECTOR DAVID DIAZ CARBALLO SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3665 SW 15TH ST, MIAMI, FL 33145-1029
(786) 992-4098
Mailing address
3665 SW 15TH ST, MIAMI, FL 33145-1029
(786) 992-4098

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH33158
FL

Other

Enumeration date
09/27/2025
Last updated
09/27/2025
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