Organization
PROFESSIONAL DENTAL ALLIANCE OF CT - ORTHO, PLLC
Active
Other names
First Impressions Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA QUINTEROS (CREDENTIALING)
(724) 901-1964
Entity
Organization
Contact information
Practice address
1476 POST RD, FAIRFIELD, CT 06824-5937
(203) 292-9596
Mailing address
125 ENTERPRISE DR, PITTSBURGH, PA 15275-1223
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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