Individual provider · Type 1 NPI
Nestor Diaz, DMD
Student in an Organized Health Care Education/Training Program · Stickney, IL
NPI number
1659174332
Active
Practice location
3930 Oak Park Ave
Stickney, IL 60402-4168
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | 019.036103 (IL) |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1659174332
Nestor Diaz, DMD's National Provider Identifier is 1659174332, issued on Mar 29, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stickney, IL. The record was last updated on Jun 27, 2025.