Organization
DIAMOND SMILES DENTISTRY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDGAR LUNA (PRESIDENT / OWNER)
(205) 988-9700
Entity
Organization
Contact information
Practice address
5336 STADIUM TRACE PKWY, STE 102, HOOVER, AL 35244-4580
(205) 988-9700
(205) 988-4191
Mailing address
5336 STADIUM TRACE PKWY, STE 102, HOOVER, AL 35244-4580
(205) 988-9700
(205) 988-4191
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17019486
AL
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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