Professional Dental Alliance

NPI #1144525858 in New Castle, Pennsylvania

Provider Information

NPI Number
1144525858
Entity Type
Organization
Organization Name
Professional Dental Alliance
Subpart
Yes (part of a larger organization)
Parent Organization
PROFESSIONAL DENTAL ALLIANCE
Primary Specialty
Dentist - General Practice
Enumeration Date
Jan 12, 2011
Last Updated
Jan 12, 2011

Practice Location

Address
2623 WILMINGTON RD
Address 2
SUITE A
ZIP Code
16105-1529
Phone
(724) 658-0822

Authorized Official

Name
ANDREW S MATTA, DMD
Title
MEMBER
Phone
(330) 533-3400

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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