Professional Dental Alliance of Ashland, LLC

NPI #1417421488 in Ashland, Ohio

Provider Information

NPI Number: 1417421488
Entity Type: Organization
Organization Name: Professional Dental Alliance of Ashland, LLC
Primary Specialty: Dentist
Enumeration Date: Jan 14, 2019
Last Updated: Jan 14, 2019

Practice Location

Address: 1860 EAST MAIN ST.
City: Ashland
State: Ohio
ZIP Code: 44805
Phone: (877) 959-5405

Authorized Official

Name: LAUREN HOWARD, MA
Title: CREDENTIALING SPECIALIST
Phone: (724) 698-2029

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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