PROFESSIONAL DENTAL ALLIANCE OF TX 43003 PLLC

ROANOKE, TX
NPI1437762531
Entity TypeOrganization
Authorized ContactLAUREN HOWARD
Credentialing Specialist
757-576-5479
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2020-08-28
Last Update Date2020-08-28
Business Address
PROFESSIONAL DENTAL ALLIANCE OF TX 43003 PLLC
200 E HIGHWAY 114
ROANOKE, TX 76262-6907
Phone number: 817-592-5055
Mailing Address
PROFESSIONAL DENTAL ALLIANCE OF TX 43003 PLLC
11 S MILL ST
NEW CASTLE, PA 16101-3680
Phone number: