Diamond Dental, Pllc
NPI #1184181760 in Midwest City, Oklahoma
Provider Information
- NPI Number
- 1184181760
- Entity Type
- Organization
- Organization Name
- Diamond Dental, Pllc
- Primary Specialty
- Dentist
- Enumeration Date
- Mar 1, 2019
- Last Updated
- May 8, 2023
Practice Location
- Address
- 1991 S DOUGLAS BLVD
- City
- Midwest City
- State
- Oklahoma
- ZIP Code
- 73130-6225
- Phone
- (405) 737-6622
Authorized Official
- Name
- AMANDA LIGHTFOOT
- Title
- AUTHORIZED REPRESENTATIVE
- Phone
- (214) 702-0708
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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