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1114139540
MARTHA E DIAZ
WAUKEGAN, IL
NPI
1114139540
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019.026605)
Enumeration Date
2007-05-06
Last Update Date
2019-07-26
Business Address
MARTHA E DIAZ DDS
1611 GRAND AVE
WAUKEGAN, IL 60085-3605
Phone number: 847-599-3855
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Mailing Address
MARTHA E DIAZ DDS
1611 GRAND AVE
WAUKEGAN, IL 60085-3605
Phone number: 847-599-3855
Copy
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