# PROFESSIONAL DENTAL ALLIANCE OF TAYLOR, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Oakcrest Dental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457863656
- **Authorized official:** ERICA QUINTEROS (CREDENTIALING)
- **Authorized official phone:** (724) 901-1964

## Contact information

- **Practice address:** 20302 EUREKA RD, TAYLOR, MI 48180-5310
- **Practice address phone:** (734) 283-5757
- **Mailing address:** 125 ENTERPRISE DR STE 200, PITTSBURGH, PA 15275-1223
- **Mailing address phone:** (724) 901-1964

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 10/27/2017
- **Last updated:** 08/25/2023