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1558121590
DIAMOND DENTAL LLC
WEST ALLIS, WI
NPI
1558121590
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Entity Type
Organization
Authorized Contact
CAMILLE SIMPER
Manager
414-400-3343
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2024-03-19
Last Update Date
2024-03-19
Business Address
DIAMOND DENTAL LLC
1520 S 108TH ST
WEST ALLIS, WI 53214-4019
Phone number: 414-400-3343
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Mailing Address
DIAMOND DENTAL LLC
5542 W FOND DU LAC AVE
MILWAUKEE, WI 53216-1200
Phone number:
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