| Diamond Smiles Dentistry, Inc | |
|
5336 Stadium Trace Pkwy Ste 102 Hoover AL 35244-4580 | |
| (205) 988-9700 | |
| (205) 988-4191 |
| Full Name | Diamond Smiles Dentistry, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5336 Stadium Trace Pkwy, Hoover, Alabama |
| Authorized Official Name and Position | Edgar Luna (PRESIDENT / OWNER) |
| Authorized Official Contact | 2059889700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diamond Smiles Dentistry, Inc 5336 Stadium Trace Pkwy Ste 102 Hoover AL 35244-4580 Ph: (205) 988-9700 | Diamond Smiles Dentistry, Inc 5336 Stadium Trace Pkwy Ste 102 Hoover AL 35244-4580 Ph: (205) 988-9700 |
| NPI Number | 1619403607 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 05/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619403607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 17019486 (Alabama) | Primary |
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