Professional Dental Alliance Specialty, LLC
NPI #1861788945 in Boardman, Ohio
Provider Information
- NPI Number
- 1861788945
- Entity Type
- Organization
- Organization Name
- Professional Dental Alliance Specialty, LLC
- Primary Specialty
- Dentist
- Enumeration Date
- Jun 27, 2011
- Last Updated
- Mar 25, 2024
Practice Location
Authorized Official
- Name
- ERICA QUINTEROS
- Title
- CREDENTIALING
- Phone
- (724) 901-1964
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Endodontics — Endodontics |
| Dentist - General Practice — General Practice |
| Dentist - Oral and Maxillofacial Pathology — Oral and Maxillofacial Pathology |
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
| Dentist - Periodontics — Periodontics |
| Dentist - Prosthodontics — Prosthodontics |
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
| Dentist - Oral and Maxillofacial Radiology — Oral and Maxillofacial Radiology |
| Denturist |
| Dentist |
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