Organization
PROFESSIONAL DENTAL ALLIANCE SPECIALTY, LLC
Active
Other names
NWO Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA JONES (CRED SPECIALIST)
(724) 698-2132
Entity
Organization
Contact information
Practice address
7131 SPRING MEADOWS DR W, SUITE C, HOLLAND, OH 43528-7939
(419) 865-7433
(419) 865-7680
Mailing address
11 S MILL ST STE 200, NEW CASTLE, PA 16101-3613
(724) 698-2132
(724) 652-4619
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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