PROFESSIONAL DENTAL ALLIANCE LLC NPI 1811261712

NPI Information

PROFESSIONAL DENTAL ALLIANCE LLC is a general practice dentist in Canfield, OH. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. PROFESSIONAL DENTAL ALLIANCE LLC NPI is 1811261712. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Pda Non-par.

The provider's business location address is:

3800 BOARDMAN CANFIELD RD
CANFIELD, OH
ZIP 44406-029
Phone: (330) 533-3400
Fax: (330) 533-2700

The provider's authorized official is Andrew S Matta .
The authorized official title is Dentist/owner and has the following contact phone number (330) 533-3400.

The enumeration date for this NPI number is 2/24/2012 and was last updated on 2/24/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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