Search › Illinois › General Practice Dentistry
Martha Diaz, DDS
NPI 1114139540 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1611 Grand Ave
Waukegan, IL 60085 - Phone
- (847) 599-3855
- Fax
- (847) 599-3859
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-07-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois