Organization
PROFESSIONAL DENTAL ALLIANCE OF BRIGHTON, PLLC
Active
Other names
Woodland Lake Family Dental PC
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA QUINTEROS (CREDENTIALING)
(724) 901-1964
Entity
Organization
Contact information
Practice address
8127 GRAND RIVER RD, BRIGHTON, MI 48114-9375
(810) 229-6740
Mailing address
125 ENTERPRISE DR STE 200, PITTSBURGH, PA 15275-1223
(724) 698-2500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/27/2017
Last updated
04/08/2024
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