Individual
DIAMOND WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DA
Contact information
Practice address
13605 EAST 17TH AVENUE, MAIL STOP F850, AUAROA, CO 80045
(303) 724-6900
(303) 724-6938
Mailing address
1800 BILLINGS ST APT 210, AURORA, CO 80011-4020
(720) 609-0604
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
0002146
CO
Other
Enumeration date
01/23/2021
Last updated
01/23/2021
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