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Organization
PROFESSIONAL DENTAL ALLIANCE OF TENNESSEE, PLLC
Active
Organization
PROFESSIONAL DENTAL ALLIANCE OF TENNESSEE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA QUINTEROS (CREDENTIALING SPECIALIST)
(724) 901-1964
Entity
Organization
Contact information
Practice address
4972 HIGHWAY 58 STE 114, CHATTANOOGA, TN 37416-1868
(423) 894-5223
Mailing address
125 ENTERPRISE DR STE 200, PITTSBURGH, PA 15275-1223
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/22/2019
Last updated
01/15/2025
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