Organization
PROFESSIONAL DENTAL ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW S MATTA DMD (MEMBER)
(330) 533-3400
Entity
Organization
Contact information
Practice address
3800 BOARDMAN CANFIELD RD, CANFIELD, OH 44406-9029
(330) 533-3400
(330) 533-2700
Mailing address
3800 BOARDMAN CANFIELD RD, CANFIELD, OH 44406-9029
(330) 533-3400
(330) 533-2700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS036253
PA
Other
Enumeration date
12/28/2010
Last updated
12/28/2010
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