Professional Dental Alliance, LLC

NPI #1740584226 in Middleburg Heights, Ohio

Provider Information

NPI Number: 1740584226
Entity Type: Organization
Organization Name: Professional Dental Alliance, LLC
Primary Specialty: Dentist
Enumeration Date: Dec 27, 2010
Last Updated: Sep 6, 2023

Practice Location

Address: 7043 PEARL RD
City: Middleburg Heights
State: Ohio
ZIP Code: 44130-4973
Phone: (330) 533-3400

Authorized Official

Name: AMANDA L KURTZ
Title: CREDENTIALING
Phone: (724) 698-2946

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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