Organization
PROFESSIONAL DENTAL ALLIANCE SPECIALTY 2
Active
Other names
Meridian Dental Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
JANET ANTONINI (CREDENTIALING)
(304) 765-5019
Entity
Organization
Contact information
Practice address
204 MARY HIGGINSON LANE, STE. 100, UNIONTOWN, PA 15401
(724) 438-0600
(724) 438-0601
Mailing address
125 ENTERPRISE DR STE 200, PITTSBURGH, PA 15275-1223
(724) 698-2500
(844) 399-0385
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
PA
Other
Enumeration date
06/06/2018
Last updated
10/26/2023
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