CORY AUSTIN DIAZ

FORT LEAVENWORTH, KS
NPI1902571078
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: KS  61924)
Enumeration Date2021-08-11
Last Update Date2021-08-11
Business Address
Dr. CORY AUSTIN DIAZ DDS
520 POPE AVE
FORT LEAVENWORTH, KS 66027-2332
Phone number: 913-684-5516
Mailing Address
Dr. CORY AUSTIN DIAZ DDS
15217 WOODSON ST
OVERLAND PARK, KS 66223-3249
Phone number: 714-875-5800