# PROFESSIONAL DENTAL ALLIANCE OF TRENTON, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497267694
- **Authorized official:** ANNETTE MARLOW (CREDENTIALING SUPERVISOR)
- **Authorized official phone:** (724) 698-2119

## Contact information

- **Practice address:** 1545 KINGSWAY CT, TRENTON, MI 48183-1952
- **Practice address phone:** (734) 676-1161
- **Mailing address:** 11 S MILL ST STE 200, NEW CASTLE, PA 16101-3680
- **Mailing address phone:** (724) 698-2500

## Taxonomy

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

## Other

- **Enumeration date:** 10/27/2017
- **Last updated:** 10/27/2017