Organization
DIAMOND DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIKLESHKUMAR I. PATEL D.M.D (PRESIDENT)
(215) 454-6638
Entity
Organization
Contact information
Practice address
3115 KENSINGTON AVE, PHILADELPHIA, PA 19134-2420
(215) 454-6638
Mailing address
3115 KENSINGTON AVE, PHILADELPHIA, PA 19134-2420
(215) 454-6638
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS039670
PA
Other
Enumeration date
11/18/2014
Last updated
11/05/2015
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