NPI | 1710863386 |
---|---|
Doing Business As | WHITE DIAMOND DENTAL |
Entity Type | Organization |
Authorized Contact | SCOTT HIRSBRUNNER Owner 719-344-2191 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2025-08-11 |
Last Update Date | 2025-08-20 |