person
Walter David Diaz, DDS
General Practice Dentistry in Maben, Mississippi
NPI 1326117722

Walter David Diaz is a General Practice Dentistry based in Maben, MS and is specialized in General Practice. Walter David Diaz practices in Maben, MS and has the professional credentials of DDS. The NPI Number for Walter David Diaz is 1326117722 and holds a License No. 1906-80 (Mississippi).

The current practice location address for Walter David Diaz is 3988 2Nd Ave, Maben, MS and can be reached out via phone at 662-263-8444 and via fax at 662-263-4478.

Location: 3988 2Nd Ave, Maben, MS, 39750-0653
person
Provider Profile Details
NPI Number
1326117722
Provider Name
Walter David Diaz
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
3988 2Nd Ave, Maben, MS, 39750-0653
Phone Number
662-263-8444
Fax Number
662-263-4478
Provider Enumeration Date
11/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00064859 05 MS
institution
Provider Business Practice Location Address Details
Address
3988 2Nd Ave
City
State
Zip
39750-0653
Phone Number
662-263-8444
Fax Number
662-263-4478
person
Provider Business Mailing Address Details
Address
3988 2Nd Ave
City
State
Zip
39750-0653
Phone Number
662-263-8444
Fax Number
662-263-4478
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
1906-80 (Mississippi)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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