| Dental Diamond Llc | |
|
1 Winston Ave Wilmington DE 19804-1760 | |
| (302) 656-8266 | |
| (302) 656-4661 |
| Full Name | Dental Diamond Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1 Winston Ave, Wilmington, Delaware |
| Authorized Official Name and Position | Benjamin F Gilbert (OWNER) |
| Authorized Official Contact | 3026568266 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Diamond Llc 1 Winston Ave Wilmington DE 19804-1760 Ph: (302) 656-8266 | Dental Diamond Llc 1 Winston Ave Wilmington DE 19804-1760 Ph: (302) 656-8266 |
| NPI Number | 1447729645 |
|---|---|
| Provider Enumeration Date | 11/16/2018 |
| Last Update Date | 11/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447729645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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Connie F. Cicorelli, D.d.s., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 Silverside Rd, Wilmington, DE 19810 Phone: 302-798-5797 Fax: 302-798-9232 | |
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