Elianet Diaz

NPI #1033631932 in Odessa, Florida

Provider Information

NPI Number: 1033631932
Entity Type: Individual
Name: Elianet Diaz
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Jul 12, 2017
Last Updated: Jul 12, 2017

Practice Location

Address: 12456 STATE ROAD 54
City: Odessa
State: Florida
ZIP Code: 33556-3477
Phone: (217) 540-5100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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