# DIAMOND BEACH DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225563877
- **Authorized official:** DR. SCOTT MASLOW DMD (PRESIDENT)
- **Authorized official phone:** (609) 522-3145

## Contact information

- **Practice address:** 9850 PACIFIC AVE, WILDWOOD CREST, NJ 08260-3213
- **Practice address phone:** (609) 522-3145
- **Practice address fax:** (609) 522-9008
- **Mailing address:** 9850 PACIFIC AVE, WILDWOOD CREST, NJ 08260-3213
- **Mailing address phone:** (609) 522-3145
- **Mailing address fax:** (609) 522-9008

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DI12756 | NJ | Yes |

## Other

- **Enumeration date:** 04/20/2017
- **Last updated:** 04/20/2017