PROFESSIONAL DENTAL ALLIANCE OF PRT ST LUCIE ST LUCIE, PLLC

PORT ST LUCIE, FL
NPI1003473257
Entity TypeOrganization
Authorized ContactJESSICA BARRETTE
Credentialing Specialist
724-698-2997
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2019-05-23
Last Update Date2019-05-23
Business Address
PROFESSIONAL DENTAL ALLIANCE OF PRT ST LUCIE ST LUCIE, PLLC
1202 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952-5364
Phone number: 772-335-3088
Mailing Address
PROFESSIONAL DENTAL ALLIANCE OF PRT ST LUCIE ST LUCIE, PLLC
11 S MILL ST STE 200
NEW CASTLE, PA 16101-3680
Phone number:
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