Professional Dental Alliance of Homestead Whitaker, LLC

NPI #1518428986 in Homestead, Pennsylvania

Provider Information

NPI Number: 1518428986
Entity Type: Organization
Organization Name: Professional Dental Alliance of Homestead Whitaker, LLC
Primary Specialty: Dentist
Enumeration Date: Mar 28, 2019
Last Updated: Mar 28, 2019

Practice Location

Address: 107 WHITAKER ST
City: Homestead
State: Pennsylvania
ZIP Code: 15120-2411
Phone: (412) 462-7710

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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