Organization
DIAMOND DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM J DIAMOND DMD (AUTHORIZED OFFICIAL)
(859) 278-0085
Entity
Organization
Contact information
Practice address
1640 NICHOLASVILLE RD, SUITE 103, LEXINGTON, KY 40503-1415
(859) 278-0085
Mailing address
1640 NICHOLASVILLE RD, SUITE 103, LEXINGTON, KY 40503-1415
(859) 278-0085
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8832
KY
Other
Enumeration date
11/18/2014
Last updated
11/18/2014
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