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1740496892
JESUS ANTONIO DIAZ
HIALEAH, FL
NPI
1740496892
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: FL DN11799)
Enumeration Date
2007-05-15
Last Update Date
2021-05-25
Business Address
Dr. JESUS ANTONIO DIAZ DDS
7000 W 12TH AVE SUITE 6
HIALEAH, FL 33014-5154
Phone number: 305-557-5888
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Mailing Address
Dr. JESUS ANTONIO DIAZ DDS
1402 SE 17TH AVE
HOMESTEAD, FL 33035-2211
Phone number:
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