Diamond Dental LLC
NPI #1558121590 in West Allis, Wisconsin
Provider Information
- NPI Number
- 1558121590
- Entity Type
- Organization
- Organization Name
- Diamond Dental LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Mar 19, 2024
- Last Updated
- Mar 19, 2024
Practice Location
- Address
- 1520 S 108TH ST
- City
- West Allis
- State
- Wisconsin
- ZIP Code
- 53214-4019
- Phone
- (414) 400-3343
Authorized Official
- Name
- CAMILLE SIMPER
- Title
- MANAGER
- Phone
- (414) 400-3343
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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