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Organization
PROFESSIONAL DENTAL ALLIANCE OF TAYLOR, PLLC
Active
Organization
PROFESSIONAL DENTAL ALLIANCE OF TAYLOR, PLLC
Active
Other names
Oakcrest Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA QUINTEROS (CREDENTIALING)
(724) 901-1964
Entity
Organization
Contact information
Practice address
20302 EUREKA RD, TAYLOR, MI 48180-5310
(734) 283-5757
Mailing address
125 ENTERPRISE DR STE 200, PITTSBURGH, PA 15275-1223
(724) 901-1964
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/27/2017
Last updated
08/25/2023
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