PROFESSIONAL DENTAL ALLIANCE OF COUNTRY WALK, PLLC

MIAMI, FL
NPI1922655950
Entity TypeOrganization
Authorized ContactLAUREN HOWARD
Credentialing
757-576-5479
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2019-08-23
Last Update Date2019-08-23
Business Address
PROFESSIONAL DENTAL ALLIANCE OF COUNTRY WALK, PLLC
15795 SW 152ND ST
MIAMI, FL 33187-5417
Phone number: 305-547-8390
Mailing Address
PROFESSIONAL DENTAL ALLIANCE OF COUNTRY WALK, PLLC
11 S MILL ST STE 200
NEW CASTLE, PA 16101-3680
Phone number:
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