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1437762531
PROFESSIONAL DENTAL ALLIANCE OF TX 43003 PLLC
ROANOKE, TX
NPI
1437762531
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Entity Type
Organization
Authorized Contact
LAUREN HOWARD
Credentialing Specialist
757-576-5479
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2020-08-28
Last Update Date
2020-08-28
Business Address
PROFESSIONAL DENTAL ALLIANCE OF TX 43003 PLLC
200 E HIGHWAY 114
ROANOKE, TX 76262-6907
Phone number: 817-592-5055
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Mailing Address
PROFESSIONAL DENTAL ALLIANCE OF TX 43003 PLLC
11 S MILL ST
NEW CASTLE, PA 16101-3680
Phone number:
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