Diaz, Jesus Antonio

Diaz, Jesus Antonio is an sole proprietor health care provider with primary practice located at 7000 W 12Th Ave Suite 6, Hialeah FL 33014-5154. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Diaz, Jesus Antonio can be contacted via phone (305) 557-5888.

Contact Information

Primary practice address
7000 W 12Th Ave Suite 6 Hialeah FL 33014-5154
Phone: (305) 557-5888
Fax: (305) 818-6677
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X DN11799 Florida

Profile Details

NPI number 1740496892
LBN Legal business name Diaz, Jesus Antonio
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2007
Last updated May 25th, 2021 - about 3 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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