Diamond Dental, Pllc

NPI #1922485432 in Austin, Texas

Provider Information

NPI Number: 1922485432
Entity Type: Organization
Organization Name: Diamond Dental, Pllc
Primary Specialty: Dentist
Enumeration Date: May 4, 2015
Last Updated: May 4, 2015

Practice Location

Address: 8106 BRODIE LN
Address 2: STE 108
City: Austin
State: Texas
ZIP Code: 78745-7469
Phone: (512) 655-3795

Authorized Official

Name: TEERACHAI SUPAKORNDEJ
Title: DDS
Phone: (512) 655-3795

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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