| Diamond Smiles Dentistry | |
|
112 Broadway St Homewood AL 35209-5312 | |
| (205) 847-1415 | |
| (205) 795-3499 |
| Full Name | Diamond Smiles Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 112 Broadway St, Homewood, Alabama |
| Authorized Official Name and Position | Edgar Luna (PRESIDENT / OWNER) |
| Authorized Official Contact | 2058471415 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diamond Smiles Dentistry 112 Broadway St Homewood AL 35209-5312 Ph: (205) 847-1415 | Diamond Smiles Dentistry 112 Broadway St Homewood AL 35209-5312 Ph: (205) 847-1415 |
| NPI Number | 1144756461 |
|---|---|
| Provider Enumeration Date | 05/05/2017 |
| Last Update Date | 05/05/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144756461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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