Organization
PROFESSIONAL DENTAL ALLIANCE, LLC
Active
Other names
Refresh Dental Westerville
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW MATTA (OWNER)
(724) 698-2500
Entity
Organization
Contact information
Practice address
1730 SCHROCK RD, COLUMBUS, OH 43229-1575
(614) 890-3590
(614) 890-3597
Mailing address
11 S MILL ST, SUITE 200, NEW CASTLE, PA 16101-3613
(724) 698-2500
(724) 652-4619
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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