Professional Dental Alliance of Kettering, LLC

NPI #1588136337 in Kettering, Ohio

Provider Information

NPI Number
1588136337
Entity Type
Organization
Organization Name
Professional Dental Alliance of Kettering, LLC
Primary Specialty
Dentist
Enumeration Date
Dec 18, 2018
Last Updated
Dec 18, 2018

Practice Location

Address
4055 FAR HILLS AVE
State
Ohio
ZIP Code
45429-2440
Phone
(877) 959-5405

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Dentist

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