| Diamond Dental Globe LLC | |
|
198 W Oak St Globe AZ 85501-2544 | |
| (208) 251-5309 | |
| Not Available |
| Full Name | Diamond Dental Globe LLC |
|---|---|
| Speciality | Dentist |
| Location | 198 W Oak St, Globe, Arizona |
| Authorized Official Name and Position | Jason Lee Miller (DENTIST/OWNER) |
| Authorized Official Contact | 2082515309 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diamond Dental Globe LLC 198 W Oak St Globe AZ 85501-2544 Ph: (208) 251-5309 | Diamond Dental Globe LLC 198 W Oak St Globe AZ 85501-2544 Ph: (208) 251-5309 |
| NPI Number | 1578339743 |
|---|---|
| Provider Enumeration Date | 11/29/2023 |
| Last Update Date | 11/29/2023 |
| Certification Date | 11/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578339743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (NU) | Primary |
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