Organization
PROFESSIONAL DENTAL ALLIANCE, LLC
Active
Other names
Dental Care of Ohio, Madison
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW MATTA DMD (OWNER)
(724) 698-2500
Entity
Organization
Contact information
Practice address
6325 N RIDGE RD, MADISON, OH 44057-2547
(440) 428-1145
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
30.022469
OH
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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