Professional Dental Alliance of Ridgefield, Pllc
NPI #1811488372 in Ridgefield, Connecticut
Provider Information
- NPI Number
- 1811488372
- Entity Type
- Organization
- Organization Name
- Professional Dental Alliance of Ridgefield, Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 21, 2018
- Last Updated
- May 21, 2018
Practice Location
- Address
- 158 DANBURY RD
- City
- Ridgefield
- State
- Connecticut
- ZIP Code
- 06877-3227
- Phone
- (203) 431-4300
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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