PROFESSIONAL DENTAL ALLIANCE OF ST. AUGUSTINE, PLLC

ST AUGUSTINE, FL
NPI1386294072
Entity TypeOrganization
Authorized ContactLAUREN HOWARD
Credentialing Specialist
757-576-5479
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2019-09-16
Last Update Date2019-09-16
Business Address
PROFESSIONAL DENTAL ALLIANCE OF ST. AUGUSTINE, PLLC
2225 A1A S STE A3
ST AUGUSTINE, FL 32080-6374
Phone number: 904-201-3442
Mailing Address
PROFESSIONAL DENTAL ALLIANCE OF ST. AUGUSTINE, PLLC
11 S MILL ST STE 200
NEW CASTLE, PA 16101-3680
Phone number:
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