Organization
JAMIE DIAMENT-GOLUB, DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMIE DIAMENT-GOLUB DMD (PRESIDENT/OWNER)
(201) 944-7636
Entity
Organization
Contact information
Practice address
2185 LEMOINE AVE, FORT LEE, NJ 07024-6036
(201) 944-7636
Mailing address
2185 LEMOINE AVE, FORT LEE, NJ 07024-6036
(201) 944-7636
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
053459
NY DENTAL LICENSE
NY
01
—
22DI01630800
DENTAL LICENSE
NJ
Enumeration date
04/10/2008
Last updated
08/07/2012
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