Organization
DIAMOND RIDGE DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELANA MARIE YORK - DE HOYOS DMD (GENERAL DENTIST)
(573) 774-1344
Entity
Organization
Contact information
Practice address
994 DIAMOND RDG STE 200, JEFFERSON CITY, MO 65109-6885
(573) 635-3576
(573) 634-2597
Mailing address
994 DIAMOND RDG STE 200, JEFFERSON CITY, MO 65109-6885
(573) 635-3576
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/05/2024
Last updated
04/05/2024
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