Professional Dental Alliance of Mi - Lmtd, Pllc
NPI #1447962055 in Chesterfield, Michigan
Provider Information
- NPI Number
- 1447962055
- Entity Type
- Organization
- Organization Name
- Professional Dental Alliance of Mi - Lmtd, Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 15, 2022
- Last Updated
- Aug 9, 2023
Practice Location
- Address
- 27891 23 MILE RD.
- City
- Chesterfield
- State
- Michigan
- ZIP Code
- 48051
- Phone
- (856) 840-8050
Authorized Official
- Name
- ERICA QUINTEROS
- Title
- CREDENTIALING
- Phone
- (724) 901-1964
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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