Professional Dental Alliance
NPI #1891090064 in Shaker Heights, Ohio
Provider Information
- NPI Number
- 1891090064
- Entity Type
- Organization
- Organization Name
- Professional Dental Alliance
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PROFESSIONAL DENTAL ALLIANCE
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 20, 2011
- Last Updated
- Jan 20, 2011
Practice Location
- Address
- 3729 LEE RD
- City
- Shaker Heights
- State
- Ohio
- ZIP Code
- 44120-5103
- Phone
- (216) 751-9922
Authorized Official
- Name
- ANDREW S MATTA, DMD
- Title
- MEMBER
- Phone
- (330) 533-3400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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