Organization
PROFESSIONAL DENTAL ALLIANCE OF ALPHARETTA HOLCOMB BRDG, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN HOWARD MA (CREDENTIALING SPECIALIST)
(724) 698-2029
Entity
Organization
Contact information
Practice address
8560 HOLCOMB BRIDGE RD STE 119, ALPHARETTA, GA 30022-5322
(770) 642-9824
Mailing address
11 S MILL ST STE 200, NEW CASTLE, PA 16101-3680
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/22/2019
Last updated
05/22/2019
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