| Diamante Dental | |
|
100 E Allegheny Ave Philadelphia PA 19134-2207 | |
| (215) 290-8230 | |
| Not Available |
| Full Name | Diamante Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 100 E Allegheny Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Yefim Aranbayev (DENTIST/PRESIDENT) |
| Authorized Official Contact | 2152908230 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diamante Dental 100 E Allegheny Ave Philadelphia PA 19134-2207 Ph: () - | Diamante Dental 100 E Allegheny Ave Philadelphia PA 19134-2207 Ph: (215) 290-8230 |
| NPI Number | 1679961262 |
|---|---|
| Provider Enumeration Date | 01/05/2015 |
| Last Update Date | 01/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679961262 | NPI | - | NPPES |
| 10259118000002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS038565 (Pennsylvania) | Primary |
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