JACOB I DIAZ-CASTANEDA

DETROIT, MI
NPI1841090479
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: GA  DN123923)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-03-13
Last Update Date2025-08-11
Business Address
JACOB I DIAZ-CASTANEDA
2700 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48208-2576
Phone number: 313-494-6700
Mailing Address
JACOB I DIAZ-CASTANEDA
1 LAFAYETTE PLAISANCE ST APT 1008
DETROIT, MI 48207-2836
Phone number: 850-737-1271