MARTHA E DIAZ

WAUKEGAN, IL
NPI1114139540
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019.026605)
Enumeration Date2007-05-06
Last Update Date2019-07-26
Business Address
MARTHA E DIAZ DDS
1611 GRAND AVE
WAUKEGAN, IL 60085-3605
Phone number: 847-599-3855
Mailing Address
MARTHA E DIAZ DDS
1611 GRAND AVE
WAUKEGAN, IL 60085-3605
Phone number: 847-599-3855