Diez, Federico
Diez, Federico is an sole proprietor health care provider with primary practice located at 12600 Pembroke Rd Suite 314, Miramar FL 33027-2544. He recently has 2 registered licenses in different health care specialties including Dental Providers / Prosthodontics, Dental Providers / General Practice. Dental Providers / Prosthodontics is his primary health care specialty. Diez, Federico can be contacted via phone (954) 505-7631.Contact Information
Primary practice address
12600 Pembroke Rd Suite 314
Miramar FL 33027-2544
Phone: (954) 505-7631
Fax: (954) 505-7633
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Prosthodontics | 1223P0700X | 14284 | Florida |
| Dental Providers / General Practice | 1223G0001X | DN 14284 | Florida |
Profile Details
| NPI number | 1043392111 |
|---|---|
| LBN Legal business name | Diez, Federico |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 2006 |
| Last updated | Sep 29th, 2021 - about 5 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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