| NPI | 1679770440 |
|---|---|
| Professional Name | DANIEL D DIAZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: PR 2749) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PR 2749) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2013-01-25 |