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1811554058
PROFESSIONAL DENTAL ALLIANCE OF CONYERS, LLC
CONYERS, GA
NPI
1811554058
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Entity Type
Organization
Authorized Contact
JESSICA BARRETTE
Credentialing Specialist
724-698-2997
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2019-05-23
Last Update Date
2019-05-23
Business Address
PROFESSIONAL DENTAL ALLIANCE OF CONYERS, LLC
1820 GEORGIA HIGHWAY 20 SE STE 148
CONYERS, GA 30013-2076
Phone number: 770-922-4375
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Mailing Address
PROFESSIONAL DENTAL ALLIANCE OF CONYERS, LLC
11 S MILL ST STE 200
NEW CASTLE, PA 16101-3680
Phone number:
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