Individual
CHARLENE DIEMANDEZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
10011 BRIDGEPORT WAY SW STE 700, LAKEWOOD, WA 98499-2350
(253) 215-1101
Mailing address
708 W YOSEMITE AVE, MADERA, CA 93637-4563
(559) 474-8200
(559) 660-5375
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
63077
CA
1223G0001X
General Practice Dentistry
Primary
DE60609735
WA
Other
Enumeration date
11/12/2013
Last updated
07/21/2022
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