PROFESSIONAL DENTAL ALLIANCE OF COVINGTON ELM STREET, LLC

COVINGTON, GA
NPI1174180319
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 COVINGTON ELM STREET, LLC
3162 ELM ST NE
COVINGTON, GA 30014-2461
Phone number: 678-625-7505
Mailing Address
PROFESSIONAL DENTAL ALLIANCE OF COVINGTON ELM STREET, LLC
11 S MILL ST STE 200
NEW CASTLE, PA 16101-3680
Phone number:
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