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Organization
DIAMOND DENTAL
Active
Organization
DIAMOND DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM J. BLACK D.D.S. (OWNER)
(916) 483-5900
Entity
Organization
Contact information
Practice address
2711 WATT AVE, SACRAMENTO, CA 95821-6238
(916) 483-5900
Mailing address
2711 WATT AVE, SACRAMENTO, CA 95821-6238
(916) 483-5900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
40140
CA
Other
Enumeration date
05/07/2010
Last updated
05/07/2010
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