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Organization
PROFESSIONAL DENTAL ALLIANCE, LLC
Active
Organization
PROFESSIONAL DENTAL ALLIANCE, LLC
Active
Other names
Refresh Dental Baldwin
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW MATTA (OWNER)
(724) 698-2500
Entity
Organization
Contact information
Practice address
4730 CLAIRTON BLVD, PITTSBURGH, PA 15236-2159
(412) 882-2075
Mailing address
11 S MILL ST, SUITE 200, NEW CASTLE, PA 16101-3613
(724) 698-2500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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