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Individual

DR. MARSHALL DIAMOND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
777 LARKFIELD ROAD, COMMACK, NY 11725
(631) 462-5780
Mailing address
10 CANTERBURY ROAD, GREAT NECK, NY 11021
(516) 487-6039

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
NY029962
NY

Other

Enumeration date
05/01/2007
Last updated
07/08/2007
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