Organization
CLINICA DENTAL DR DANIEL D DIAZ JIMENEZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL D DIAZ JIMENEZ DMD (DENTIST)
(787) 273-0918
Entity
Organization
Contact information
Practice address
123 AVE PONCE DE LEON, BO AMELIA, GUAYNABO, PR 00965-5602
(787) 273-0918
Mailing address
PO BOX 810119, CAROLINA, PR 00981-0119
(787) 273-0918
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2749
PR
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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