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Organization
PROFESSIONAL DENTAL ALLIANCE OF ROCHESTER, PLLC
Active
Organization
PROFESSIONAL DENTAL ALLIANCE OF ROCHESTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNETTE MARLOW (CREDENTIALING SUPERVISOR)
(724) 698-2119
Entity
Organization
Contact information
Practice address
600 N MAIN ST STE 100, ROCHESTER, MI 48307-1491
(248) 652-1010
Mailing address
11 S MILL ST STE 200, NEW CASTLE, PA 16101-3680
(724) 968-2500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/27/2017
Last updated
10/27/2017
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