Organization
DIAMOND ORTHOTIC LABORATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATT RAGO (COO)
(619) 724-6400
Entity
Organization
Contact information
Practice address
7859 EL CAJON BLVD, LA MESA, CA 91942-0602
(619) 724-6400
(619) 724-6401
Mailing address
7859 EL CAJON BLVD, LA MESA, CA 91942-0602
(619) 724-6400
Taxonomy
Speciality
Code
Description
License number
State
292200000X
Dental Laboratory
Primary
—
—
Other
Enumeration date
04/21/2023
Last updated
04/21/2023
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