Professional Dental Alliance of Indiana, LLC

NPI #1013372903 in New Castle, Pennsylvania

Provider Information

NPI Number: 1013372903
Entity Type: Organization
Organization Name: Professional Dental Alliance of Indiana, LLC
Primary Specialty: Dentist
Enumeration Date: Dec 21, 2015
Last Updated: Dec 27, 2015

Practice Location

Address: 11 S MILL ST
Address 2: SUITE 200
City: New Castle
State: Pennsylvania
ZIP Code: 16101-3613
Phone: (724) 698-2500

Authorized Official

Name: DR. ANDREW MATTA
Title: OWNER
Phone: (724) 698-2500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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