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 |