Professional Dental Alliance of Country Walk, Pllc
NPI #1922655950 in Miami, Florida
Provider Information
- NPI Number
- 1922655950
- Entity Type
- Organization
- Organization Name
- Professional Dental Alliance of Country Walk, Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 23, 2019
- Last Updated
- Aug 23, 2019
Practice Location
Authorized Official
- Name
- LAUREN HOWARD
- Title
- CREDENTIALING
- Phone
- (757) 576-5479
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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