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Organization
PROFESSIONAL DENTAL ALLIANCE, LLC
Active
Organization
PROFESSIONAL DENTAL ALLIANCE, LLC
Active
Other names
Grove City Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD WISE DDS (DENTIST/OWNER)
(614) 808-1000
Entity
Organization
Contact information
Practice address
11 S MILL ST, 200, NEW CASTLE, PA 16101-3613
(724) 698-2500
Mailing address
4079 GANTZ RD, GROVE CITY, OH 43123-4912
(614) 808-1000
(614) 801-0003
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.022975
OH
Other
Enumeration date
02/24/2016
Last updated
02/24/2016
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