Diamond Smiles Homewood

NPI #1144756461 in Homewood, Alabama

Provider Information

NPI Number: 1144756461
Entity Type: Organization
Organization Name: Diamond Smiles Homewood
Primary Specialty: Dentist - General Practice
Enumeration Date: May 5, 2017
Last Updated: May 5, 2017

Practice Location

Address: 112 BROADWAY ST
City: Homewood
State: Alabama
ZIP Code: 35209-5312
Phone: (205) 847-1415

Authorized Official

Name: EDGAR LUNA
Title: PRESIDENT / OWNER
Phone: (205) 847-1415

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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