Diamond Ridge Dentistry LLC
NPI #1427800952 in Jefferson City, Missouri
Provider Information
- NPI Number
- 1427800952
- Entity Type
- Organization
- Organization Name
- Diamond Ridge Dentistry LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 5, 2024
- Last Updated
- Apr 5, 2024
Practice Location
- Address
- 994 DIAMOND RDG STE 200
- City
- Jefferson City
- State
- Missouri
- ZIP Code
- 65109-6885
- Phone
- (573) 635-3576
Authorized Official
- Name
- MRS. ELANA MARIE YORK - DE HOYOS, DMD
- Title
- GENERAL DENTIST
- Phone
- (573) 774-1344
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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