| NPI | 1790179992 |
|---|---|
| Doing Business As | PROFESSIONAL DENTAL ALLIANCE |
| Entity Type | Organization |
| Authorized Contact | ANDREW MATTA Chief Medical Officer 724-674-2965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OH 30-023665) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2015-03-25 |