PROFESSIONAL DENTAL ALLIANCE OF ATLANTA BOULEVARD SE, LLC

ATLANTA, GA
NPI1689239675
Entity TypeOrganization
Authorized ContactLAUREN HOWARD
Credentialing Specialist
724-698-2029
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
Enumeration Date2019-05-06
Last Update Date2019-05-06
Business Address
PROFESSIONAL DENTAL ALLIANCE OF ATLANTA BOULEVARD SE, LLC
465 BOULEVARD SE STE 207A
ATLANTA, GA 30312-3483
Phone number: 404-624-1230
Mailing Address
PROFESSIONAL DENTAL ALLIANCE OF ATLANTA BOULEVARD SE, LLC
11 S MILL ST STE 200
NEW CASTLE, PA 16101-3680
Phone number:
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