| Diamond Dental Pllc | |
|
11050 Cedar Hills Blvd 101e Minnetonka MN 55305-3057 | |
| (612) 554-7278 | |
| Not Available |
| Full Name | Diamond Dental Pllc |
|---|---|
| Speciality | Dentist |
| Location | 11050 Cedar Hills Blvd, Minnetonka, Minnesota |
| Authorized Official Name and Position | Abdirahman Ugas Ahmed (OWNER) |
| Authorized Official Contact | 6125547278 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diamond Dental Pllc 11050 Cedar Hills Blvd 101e Minnetonka MN 55305 Ph: (612) 554-7278 | Diamond Dental Pllc 11050 Cedar Hills Blvd 101e Minnetonka MN 55305-3057 Ph: (612) 554-7278 |
| NPI Number | 1497018808 |
|---|---|
| Provider Enumeration Date | 06/20/2012 |
| Last Update Date | 06/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497018808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D12794 (Minnesota) | Primary |
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