PROFESSIONAL DENTAL ALLIANCE OF LILBURN, LLC

LILBURN, GA
NPI1710544960
Entity TypeOrganization
Authorized ContactJESSICA BARRETTE
Credentialing Specialist
724-698-2997
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2019-05-23
Last Update Date2019-05-23
Business Address
PROFESSIONAL DENTAL ALLIANCE OF LILBURN, LLC
3970 FIVE FORKS TRICKUM RD SW STE B
LILBURN, GA 30047-2339
Phone number: 770-921-8442
Mailing Address
PROFESSIONAL DENTAL ALLIANCE OF LILBURN, LLC
11 S MILL ST STE 200
NEW CASTLE, PA 16101-3680
Phone number:
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