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1023530029
MICHAEL ANTHONY DIEZ
TAMPA, FL
NPI
1023530029
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: FL 22784)
Enumeration Date
2017-07-11
Last Update Date
2022-07-21
Business Address
Dr. MICHAEL ANTHONY DIEZ DMD
5010 GUNN HWY
TAMPA, FL 33624-6322
Phone number: 813-892-4059
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Mailing Address
Dr. MICHAEL ANTHONY DIEZ DMD
5010 GUNN HWY
TAMPA, FL 33624-6322
Phone number: 813-892-4059
Copy
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