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Organization

PROFESSIONAL DENTAL ALLIANCE OF OLD SAYBROOK, PLLC

Active
Other names
Life Long Dental Care of Old Saybrook
Organization subpart
No

Provider details

NPI number
Authorized official
ANDREW MATTA DMD (CMO/OWNER)
(724) 698-2500
Entity
Organization

Contact information

Practice address
711 BOSTON POST RD, OLD SAYBROOK, CT 06475-2125
(860) 388-0242
Mailing address
11 S MILL ST STE 200, NEW CASTLE, PA 16101-3680
(724) 698-2500
(724) 652-4619

Taxonomy

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

Other

Enumeration date
05/21/2018
Last updated
05/21/2018
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