Organization
DR. MICHAEL J. DIAMOND, PA
Active
Other names
Orange Street Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J. DIAMOND D.M.D. (PRESIDENT)
(973) 481-5000
Entity
Organization
Contact information
Practice address
509 ORANGE ST, NEWARK, NJ 07107-2128
(973) 481-5000
(973) 481-0353
Mailing address
509 ORANGE ST, NEWARK, NJ 07107-2128
(973) 481-5000
(973) 481-0353
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI00913400
NJ
Other
Enumeration date
05/02/2007
Last updated
07/03/2008
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