Organization
MARK DIAMOND DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK JOHN DIAMOND DDS (OWNER)
(207) 883-4285
Entity
Organization
Contact information
Practice address
500 ENTERPRISE DR, SCARBOROUGH, ME 04074-7646
(207) 883-4285
(207) 883-9891
Mailing address
500 ENTERPRISE DR, SCARBOROUGH, ME 04074-7646
(207) 883-4285
(207) 883-9891
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3321
ME
Other
Enumeration date
05/21/2007
Last updated
08/22/2020
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