Organization
PROFESSIONAL DENTAL ALLIANCE OF TAYLOR, PLLC
Active
Other names
Oakcrest Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA QUINTEROS (CREDENTIALING)
(724) 901-1964
Entity
Organization
Contact information
Practice address
20302 EUREKA RD, TAYLOR, MI 48180-5310
(734) 283-5757
Mailing address
125 ENTERPRISE DR STE 200, PITTSBURGH, PA 15275-1223
(724) 901-1964
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/27/2017
Last updated
08/25/2023
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