Professional Dental Alliance, LLC

NPI #1689034365 in New Castle, Pennsylvania

Provider Information

NPI Number
1689034365
Entity Type
Organization
Organization Name
Professional Dental Alliance, LLC
Primary Specialty
Dentist
Enumeration Date
Feb 24, 2016
Last Updated
Feb 24, 2016

Practice Location

Address
11 S MILL ST
Address 2
200
ZIP Code
16101-3613
Phone
(724) 698-2500

Authorized Official

Name
DR. CHAD WISE, DDS
Title
DENTIST/OWNER
Phone
(614) 808-1000

Specialties & Taxonomy Codes

Specialty
Dentist

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