Pda of Michigan Non-Par, Pllc
NPI #1942712153 in New Castle, Pennsylvania
Provider Information
- NPI Number
- 1942712153
- Entity Type
- Organization
- Organization Name
- Pda of Michigan Non-Par, Pllc
- Primary Specialty
- Dentist
- Enumeration Date
- Oct 27, 2017
- Last Updated
- Oct 27, 2017
Practice Location
- Address
- 11 S MILL ST STE 200
- City
- New Castle
- State
- Pennsylvania
- ZIP Code
- 16101-3680
- Phone
- (724) 698-2500
Authorized Official
- Name
- ANNETTE MARLOW
- Title
- CREDENTIALING SUPERVISOR
- Phone
- (724) 698-2119
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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