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Organization

NONA DIAMOND DENTAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALI CORREA DDS (DENTIST)
(561) 791-6494
Entity
Organization

Contact information

Practice address
1696 S MILITARY TRL UNIT B, WEST PALM BEACH, FL 33415-5612
(561) 791-6494
Mailing address
1696 S MILITARY TRL UNIT B, WEST PALM BEACH, FL 33415-5612
(561) 791-6494

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
013781100
FL
Enumeration date
01/15/2019
Last updated
01/15/2019
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