| Diamond Dental | |
|
1991 S Douglas Blvd Midwest City OK 73130-6225 | |
| (405) 737-6622 | |
| (405) 733-2250 |
| Full Name | Diamond Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1991 S Douglas Blvd, Midwest City, Oklahoma |
| Authorized Official Name and Position | Brent Thomas Amaya (DENTIST) |
| Authorized Official Contact | 4057376622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diamond Dental 1991 S Douglas Blvd Midwest City OK 73130-6225 Ph: (405) 737-6622 | Diamond Dental 1991 S Douglas Blvd Midwest City OK 73130-6225 Ph: (405) 737-6622 |
| NPI Number | 1366787699 |
|---|---|
| Provider Enumeration Date | 11/27/2012 |
| Last Update Date | 01/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366787699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6273 (Oklahoma) | Primary |
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