Organization
PROFESSIONAL DENTAL ALLIANCE OF SNELLVILLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN HOWARD MA (CREDENTIALING SPECIALIST)
(724) 698-2029
Entity
Organization
Contact information
Practice address
1850 SCENIC HWY N STE B, SNELLVILLE, GA 30078-4702
(770) 676-1122
Mailing address
11 S MILL ST STE 200, NEW CASTLE, PA 16101-3680
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/10/2019
Last updated
04/10/2019
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