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Organization
PROFESSIONAL DENTAL ALLIANCE OF FL - LMTD, PLLC
Active
Organization
PROFESSIONAL DENTAL ALLIANCE OF FL - LMTD, PLLC
Active
Other names
Sorrento Dental Care, Lakewood Ranch Dental, Paul Hinder
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA QUINTEROS (CREDENTIALING)
(724) 901-1964
Entity
Organization
Contact information
Practice address
12385 SORRENTO RD STE B1, PENSACOLA, FL 32507-8656
(850) 492-7647
Mailing address
125 ENTERPRISE DR STE 200, PITTSBURGH, PA 15275-1223
(724) 901-1964
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
—
Other
Enumeration date
08/18/2023
Last updated
01/25/2024
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