| Jeffrey A. Diamond Dds, Inc. | |
|
158 2nd St Los Altos CA 94022-2818 | |
| (650) 948-0786 | |
| (650) 948-1006 |
| Full Name | Jeffrey A. Diamond Dds, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 158 2nd St, Los Altos, California |
| Authorized Official Name and Position | Jeffrey A Diamond (OWNER) |
| Authorized Official Contact | 6509480786 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey A. Diamond Dds, Inc. 158 2nd St Los Altos CA 94022-2818 Ph: (650) 948-0786 | Jeffrey A. Diamond Dds, Inc. 158 2nd St Los Altos CA 94022-2818 Ph: (650) 948-0786 |
| NPI Number | 1255863122 |
|---|---|
| Provider Enumeration Date | 03/30/2017 |
| Last Update Date | 01/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255863122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 64887 (California) | Primary |
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