Organization
JEFFREY A. DIAMOND DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY A DIAMOND DDS (OWNER)
(650) 948-0786
Entity
Organization
Contact information
Practice address
158 2ND ST, LOS ALTOS, CA 94022-2818
(650) 948-0786
(650) 948-1006
Mailing address
158 2ND ST, LOS ALTOS, CA 94022-2818
(650) 948-0786
(650) 948-4006
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
64887
CA
Other
Enumeration date
03/30/2017
Last updated
01/16/2018
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