DAVID M. DIAZ DENTAL CORPORATION NPI 1346465317

NPI Information

DAVID M. DIAZ DENTAL CORPORATION is a pediatric dentistry dentist in Redlands, CA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DAVID M. DIAZ DENTAL CORPORATION NPI is 1346465317. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Redlands Childrens Dental Group.

The provider's business location address is:

308 W STATE ST STE 4A
REDLANDS, CA
ZIP 92373-626
Phone: (909) 798-2755
Fax: (909) 307-2098

The provider's authorized official is David M Diaz .
The authorized official title is Owner and has the following contact phone number (909) 798-2755.

The enumeration date for this NPI number is 4/16/2007 and was last updated on 9/19/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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