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General NPI Number Information
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NPI Number | 1205524451
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Entity Type | Organization
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Legal Business Name | DIAZ DENTAL PLLC
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Dates
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Enumeration Date | 04/26/2023
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Last Update Date | 04/26/2023
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Provider Practice Location Address
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Address Line | 8355 WALNUT HILL LN STE 240
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City | DALLAS
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State | TX
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Zip | 75231-4200
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Country | US
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Telephone | 214-691-2323
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Fax | 214-265-9062
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Provider Business Mailing Address
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Address Line | 8355 WALNUT HILL LN STE 240
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City | DALLAS
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State | TX
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Zip | 75231-4200
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Country | US
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Telephone | 214-691-2323
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Fax | 214-265-9062
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Authorized Official
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Title or Position | OWNER
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Name | JUAN C DIAZ
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Credential | DDS
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Telephone | 214-691-2323
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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