Martha E. Diaz DDS, PC
Martha E. Diaz DDS, PC is a Preferred Provider Organization in Waukegan, Illinois. Licensed in Illinois. Registered with an NPI since 2008.
- Licensed in
- IL
- In the registry since
- 2008
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2634 Grand Ave Ste 207Waukegan, IL 60085-2458
Phone: (847) 599-3855
Fax: (847) 599-3859
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X (IL) |
|---|
Record details
| NPI number | 1043481765 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Eugenio Sierra — Administrator · (847) 599-3855 |
| NPI enumerated | March 20, 2008 |
| Last updated in NPPES | March 20, 2008 |
| Mailing address | 2634 Grand Ave, Suite 207, Waukegan, IL 60085-2458 |