Provider Demographics
NPI:1073836540
Name:DIAMOND DENTAL SERVICES
Entity Type:Organization
Organization Name:DIAMOND DENTAL SERVICES
Other - Org Name:ALL TEXAS SMILES DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMLAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-488-1234
Mailing Address - Street 1:2761 VALWOOD PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:FARMERS BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:75234-4215
Mailing Address - Country:US
Mailing Address - Phone:972-488-1234
Mailing Address - Fax:972-488-1238
Practice Address - Street 1:2761 VALWOOD PKWY STE 200
Practice Address - Street 2:
Practice Address - City:FARMERS BRANCH
Practice Address - State:TX
Practice Address - Zip Code:75234-4215
Practice Address - Country:US
Practice Address - Phone:972-488-1234
Practice Address - Fax:972-488-1238
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-11
Last Update Date:2013-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty