Individual
DR. MARK B DIAMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1621 N CEDAR CREST BLVD, SUITE 117 LEHIGH VALLEY SUBURBAN DENTAL ASSOC LTD, ALLENTOWN, PA 18104
(610) 820-9900
(610) 820-9922
Mailing address
1621 N CEDAR CREST BLVD, SUITE 117 LEHIGH VALLEY SUBURBAN DENTAL ASSOC LTD, ALLENTOWN, PA 18104
(610) 820-9900
(610) 820-9922
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS020511L
PA
Other
Enumeration date
11/21/2007
Last updated
11/21/2007
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