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Organization
JEFFREY A. DIAMOND DDS, INC.
Active
Organization
JEFFREY A. DIAMOND DDS, INC.
Active
Other names
Legacy Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE LOYA (BUSINESS MANAGER)
(650) 948-0786
Entity
Organization
Contact information
Practice address
158 2ND ST, LOS ALTOS, CA 94022-2818
(650) 948-0786
Mailing address
158 2ND ST, LOS ALTOS, CA 94022-2818
(650) 948-0786
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/17/2018
Last updated
01/17/2018
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