PROFESSIONAL DENTAL ALLIANCE OF WEST MELBOURNE, PLLC

MELBOURNE, FL
NPI1215416045
Entity TypeOrganization
Authorized ContactANNETTE MARLOW
Credentialing Supervisor
724-698-2119
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist General Practice
Enumeration Date2018-08-13
Last Update Date2018-08-13
Business Address
PROFESSIONAL DENTAL ALLIANCE OF WEST MELBOURNE, PLLC
2025 W NEW HAVEN AVE
MELBOURNE, FL 32904-3801
Phone number: 321-956-5664
Mailing Address
PROFESSIONAL DENTAL ALLIANCE OF WEST MELBOURNE, PLLC
11 S MILL ST STE 200
NEW CASTLE, PA 16101-3680
Phone number: 724-698-2500
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