Professional Dental Alliance Specialty 2

NPI #1508358425 in Uniontown, Pennsylvania

Provider Information

NPI Number: 1508358425
Entity Type: Organization
Organization Name: Professional Dental Alliance Specialty 2
Primary Specialty: Dentist - Endodontics
Enumeration Date: Jun 6, 2018
Last Updated: Oct 26, 2023

Practice Location

Address: 204 MARY HIGGINSON LANE
Address 2: STE. 100
City: Uniontown
State: Pennsylvania
ZIP Code: 15401
Phone: (724) 438-0600

Authorized Official

Name: JANET ANTONINI
Title: CREDENTIALING
Phone: (304) 765-5019

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Endodontics — Endodontics	1223E0200X	Primary

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