NPI | 1720173792 |
---|---|
Doing Business As | A DIAMOND DENTAL CENTER |
Entity Type | Organization |
Authorized Contact | AUDLEY DIAMOND Dental Director 410-944-6666 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MD 7217) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2020-08-22 |