Organization
PROFESSIONAL DENTAL ALLIANCE OF HOPEWELL LLC
Active
Parent organization
PROFESSIONAL DENTAL ALLIANCE, LLC
Other names
Hopewell Dental Dayton
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROFESSIONAL DENTAL ALLIANCE, LLC
Authorized official
DR. ANDREW MATTA (OWNER)
(724) 698-2500
Entity
Organization
Contact information
Practice address
4460 LINDEN AVE, DAYTON, OH 45432-3031
(937) 258-2225
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
—
—
Other
Enumeration date
02/10/2017
Last updated
02/10/2017
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