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
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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