Organization
PROFESSIONAL DENTAL ALLIANCE OF INDIANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW MATTA (OWNER)
(724) 698-2500
Entity
Organization
Contact information
Practice address
11 S MILL ST, SUITE 200, NEW CASTLE, PA 16101-3613
(724) 698-2500
(724) 652-4160
Mailing address
11 S MILL ST, SUITE 200, NEW CASTLE, PA 16101-3613
(724) 698-2500
(724) 652-4160
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012359A
IN
Other
Enumeration date
12/21/2015
Last updated
12/27/2015
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