Organization
PDA ORTHO SPECIALTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW MATTA (CEO)
(330) 533-3400
Entity
Organization
Contact information
Practice address
11 S MILL ST, SUITE 200, NEW CASTLE, PA 16101-3613
(330) 533-3400
(330) 533-2700
Mailing address
11 S MILL ST, SUITE 200, NEW CASTLE, PA 16101-3613
(330) 533-3400
(330) 533-2700
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
OH
Other
Enumeration date
06/27/2011
Last updated
04/01/2013
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