NPI | 1144756461 |
---|---|
Doing Business As | DIAMOND SMILES DENTISTRY |
Entity Type | Organization |
Authorized Contact | EDGAR LUNA President / Owner 205-847-1415 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2017-05-05 |
Last Update Date | 2017-05-05 |