NPI | 1366787699 |
---|---|
Doing Business As | DIAMOND DENTAL |
Entity Type | Organization |
Authorized Contact | BRENT THOMAS AMAYA Dentist 405-737-6622 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 6273) |
Enumeration Date | 2012-11-27 |
Last Update Date | 2014-01-30 |