PROFESSIONAL DENTAL ALLIANCE OF PRT ST LUCIE PRMA VSTA, PLLC

PORT ST LUCIE, FL
NPI1750948907
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 PRT ST LUCIE PRMA VSTA, PLLC
499 NW PRIMA VISTA BLVD UNIT 107
PORT ST LUCIE, FL 34983-8786
Phone number: 772-336-1500
Mailing Address
PROFESSIONAL DENTAL ALLIANCE OF PRT ST LUCIE PRMA VSTA, PLLC
11 S MILL ST STE 200
NEW CASTLE, PA 16101-3680
Phone number:
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