DR. Cory Austin Diaz, DDS
NPI #1902571078 in Fort Leavenworth, Kansas
Provider Information
- NPI Number
- 1902571078
- Entity Type
- Individual
- Name
- DR. Cory Austin Diaz, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Aug 11, 2021
- Last Updated
- Aug 11, 2021
Practice Location
- Address
- 520 POPE AVE
- City
- Fort Leavenworth
- State
- Kansas
- ZIP Code
- 66027-2332
- Phone
- (913) 684-5516
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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