| David M. Diaz, Dds | |
|
1801 Newport Blvd Ste B Costa Mesa CA 92627-2701 | |
| (949) 548-5588 | |
| (949) 548-5731 |
| Full Name | David M. Diaz, Dds |
|---|---|
| Speciality | Dentist |
| Location | 1801 Newport Blvd Ste B, Costa Mesa, California |
| Authorized Official Name and Position | Teresa D. Battista (MANAGER) |
| Authorized Official Contact | 9495485588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David M. Diaz, Dds 1801 Newport Blvd Suite B Costa Mesa CA 92627-2701 Ph: (949) 548-5588 | David M. Diaz, Dds 1801 Newport Blvd Ste B Costa Mesa CA 92627-2701 Ph: (949) 548-5588 |
| NPI Number | 1639370737 |
|---|---|
| Provider Enumeration Date | 05/29/2007 |
| Last Update Date | 05/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639370737 | NPI | - | NPPES |
| $$$$$$$$$ | Other | CA | SOCIAL SECURITY NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 30642 (California) | Primary |
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