DR. Dana M Busciglio Diaz, DMD

NPI #1245457183 in Lithia, Florida

Provider Information

NPI Number: 1245457183
Entity Type: Individual
Name: DR. Dana M Busciglio Diaz, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Pediatric Dentistry
Credential: DMD
Enumeration Date: Apr 20, 2007
Last Updated: Jul 23, 2018

Practice Location

Address: 5601 SKYTOP DR
City: Lithia
State: Florida
ZIP Code: 33547
Phone: (813) 603-8800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X	Primary

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