Professional Dental Alliance of Northford, Pllc
NPI #1811488356 in Northford, Connecticut
Provider Information
- NPI Number
- 1811488356
- Entity Type
- Organization
- Organization Name
- Professional Dental Alliance of Northford, Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 21, 2018
- Last Updated
- May 21, 2018
Practice Location
- Address
- 1355 MIDDLETOWN AVE
- City
- Northford
- State
- Connecticut
- ZIP Code
- 06472-1382
- Phone
- (203) 484-0456
Authorized Official
- Name
- ANDREW MATTA, DMD
- Title
- CMO/OWNER
- Phone
- (724) 698-2500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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