Diaz, Cory Austin

Diaz, Cory Austin is an individual health care provider with primary practice located at 520 Pope Ave , Fort Leavenworth KS 66027-2332. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Diaz, Cory Austin can be contacted via phone (913) 684-5516.

Contact Information

Primary practice address
520 Pope Ave Fort Leavenworth KS 66027-2332
Phone: (913) 684-5516
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 61924 Kansas

Profile Details

NPI number 1902571078
LBN Legal business name Diaz, Cory Austin
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2021
Last updated Aug 11th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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