| NPI | 1356002166 |
|---|---|
| Doing Business As | DIAMOND SMILES HOOVER |
| Entity Type | Organization |
| Authorized Contact | VERONICA JACKSON Revenue Cycle Manager 205-538-5464 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2022-01-05 |