| Diamond Dental | |
|
1640 Nicholasville Rd Ste 103 Lexington KY 40503-1493 | |
| (859) 278-0085 | |
| Not Available |
| Full Name | Diamond Dental |
|---|---|
| Speciality | Dentist |
| Location | 1640 Nicholasville Rd Ste 103, Lexington, Kentucky |
| Authorized Official Name and Position | Rana Zakharia Diamond (PRESIDENT) |
| Authorized Official Contact | 8592780085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diamond Dental 1640 Nicholasville Rd Ste 103 Lexington KY 40503-1493 Ph: () - | Diamond Dental 1640 Nicholasville Rd Ste 103 Lexington KY 40503-1493 Ph: (859) 278-0085 |
| NPI Number | 1922406958 |
|---|---|
| Provider Enumeration Date | 12/08/2014 |
| Last Update Date | 12/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922406958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8796 (Kentucky) | Primary |
| 122300000X | Dentist | 8832 (Kentucky) | Secondary |
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