Dr. Jennifer Hilario Diaz
Periodontist
8230 Boone Blvd Ste 410
Vienna
, Virginia 22182-2646
Dr. Jennifer Hilario Diaz
Periodontist
8230 Boone Blvd Ste 410
Vienna
, Virginia 22182-2646
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Jennifer Hilario Diaz
- 9612 Minstead Ct
- Burke, VA
- Zip : 22015-4056
- Phone :
Second Address
- Dr. Jennifer Hilario Diaz
- 8230 Boone Blvd Ste 410
- Vienna, VA
- Zip : 22182-2646
- Phone : (703) 848-8906
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 0401411082 | VA |
National Provider Identifier
| NPI | 1154409506 |
|---|---|
| Provider Name | Dr. Jennifer Hilario Diaz |
| First Address | Burke, VA 22015-4056 |
| Second Address | Vienna, VA 22182-2646 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/11/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.