Professional Dental Alliance of Heath, LLC

NPI #1649762543 in Heath, Ohio

Provider Information

NPI Number: 1649762543
Entity Type: Organization
Organization Name: Professional Dental Alliance of Heath, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 6, 2018
Last Updated: Jun 6, 2018

Practice Location

Address: 572 INDUSTRIAL PKWY
City: Heath
State: Ohio
ZIP Code: 43056-1528
Phone: (740) 522-5000

Authorized Official

Name: ANDREW MATTA
Title: CMO/DMD
Phone: (724) 698-2500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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