| Diamond Springs Dental Center | |
|
540 Main St Diamond Springs CA 95619-9109 | |
| (530) 600-2835 | |
| Not Available |
| Full Name | Diamond Springs Dental Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 540 Main St, Diamond Springs, California |
| Authorized Official Name and Position | April Lyn Westfall (CEO) |
| Authorized Official Contact | 5306002835 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diamond Springs Dental Center Po Box 551167 South Lake Tahoe CA 96155-1167 Ph: (530) 600-2835 | Diamond Springs Dental Center 540 Main St Diamond Springs CA 95619-9109 Ph: (530) 600-2835 |
| NPI Number | 1427530161 |
|---|---|
| Provider Enumeration Date | 08/29/2018 |
| Last Update Date | 08/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427530161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Diamond Springs Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 540 Main Street, Ste. 102 Post Office Box 500, Diamond Springs, CA 95619 Phone: 530-344-0290 Fax: 530-344-0291 |