Professional Dental Alliance of Norwalk, Pllc
NPI #1013733583 in Norwalk, Connecticut
Provider Information
- NPI Number
- 1013733583
- Entity Type
- Organization
- Organization Name
- Professional Dental Alliance of Norwalk, Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 29, 2024
- Last Updated
- Nov 29, 2024
Practice Location
- Address
- 761 MAIN AVE STE 111
- City
- Norwalk
- State
- Connecticut
- ZIP Code
- 06851-1080
- Phone
- (203) 908-3170
Authorized Official
- Name
- ERICA QUINTEROS
- Title
- CREDENTIALING
- Phone
- (724) 901-1964
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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