| NPI | 1922580844 |
|---|---|
| Doing Business As | DIAMOND LAKE DENTAL |
| Entity Type | Organization |
| Authorized Contact | NECDET OZDER CEO 661-202-0454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2020-06-19 |