Provider Demographics
NPI:1932803194
Name:DIAMOND CARE DENTAL
Entity Type:Organization
Organization Name:DIAMOND CARE DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:NAINA
Authorized Official - Middle Name:KAUSHAL
Authorized Official - Last Name:GOGNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-874-7474
Mailing Address - Street 1:1149 COUNTY ROAD 601
Mailing Address - Street 2:
Mailing Address - City:SKILLMAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08558-2102
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1149 COUNTY ROAD 601
Practice Address - Street 2:
Practice Address - City:SKILLMAN
Practice Address - State:NJ
Practice Address - Zip Code:08558-2102
Practice Address - Country:US
Practice Address - Phone:609-874-7474
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-29
Last Update Date:2024-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty