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Organization
PROFESSIONAL DENTAL ALLIANCE OF COVINGTON, LLC
Active
Organization
PROFESSIONAL DENTAL ALLIANCE OF COVINGTON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN HOWARD MA (CREDENTIALING SPECIALIST)
(724) 698-2029
Entity
Organization
Contact information
Practice address
9164 DR M L KING JR AVE, COVINGTON, GA 30014-8710
(770) 784-7030
Mailing address
11 S MILL ST STE 200, NEW CASTLE, PA 16101-3680
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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