Organization
DIAMOND DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEERACHAI SUPAKORNDEJ (DDS)
(512) 655-3795
Entity
Organization
Contact information
Practice address
8106 BRODIE LN, STE 108, AUSTIN, TX 78745-7469
(512) 655-3795
Mailing address
8106 BRODIE LN, STE 108, AUSTIN, TX 78745-7469
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
28588
TX
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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