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Organization

DIAMOND DENTAL LLC

Active
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Organization

DIAMOND DENTAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAMILLE SIMPER (MANAGER)
(414) 400-3343
Entity
Organization

Contact information

Practice address
1520 S 108TH ST, WEST ALLIS, WI 53214-4019
(414) 400-3343
Mailing address
5542 W FOND DU LAC AVE, MILWAUKEE, WI 53216-1200

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—

Other

Enumeration date
03/19/2024
Last updated
03/19/2024
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