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Organization

PROFESSIONAL DENTAL ALLIANCE WM, PLLC

Active
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Organization

PROFESSIONAL DENTAL ALLIANCE WM, PLLC

Active
Other names
WM Dental Care
Organization subpart
No

Provider details

NPI number
Authorized official
ERICA QUINTEROS (CREDENTIALING)
(724) 901-1964
Entity
Organization

Contact information

Practice address
17 LONG AVE STE 108, HAMBURG, NY 14075-6200
(716) 655-5000
(716) 649-6623
Mailing address
125 ENTERPRISE DR STE 200, PITTSBURGH, PA 15275-1223

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—

Other

Enumeration date
10/21/2024
Last updated
12/11/2024
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