| NPI | 1770368383 |
|---|---|
| Doing Business As | DIAMOND DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | ALEXANDER KATANOV Member 720-505-3145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2023-08-30 |
| Last Update Date | 2023-08-30 |