PROFESSIONAL DENTAL ALLIANCE OF TX 43004 PLLC

TYLER, TX
NPI1093329534
Entity TypeOrganization
Authorized ContactLAUREN HOWARD
Credentialing Specialist
757-576-5479
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2020-09-02
Last Update Date2020-09-02
Business Address
PROFESSIONAL DENTAL ALLIANCE OF TX 43004 PLLC
212 OLD GRANDE BLVD STE B224
TYLER, TX 75703-4277
Phone number: 903-509-0505
Mailing Address
PROFESSIONAL DENTAL ALLIANCE OF TX 43004 PLLC
11 S MILL ST
NEW CASTLE, PA 16101-3680
Phone number:
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