Organization
PROFESSIONAL DENTAL ALLIANCE OF MERIDIAN, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA QUINTEROS (CREDENTIALING)
(724) 698-2135
Entity
Organization
Contact information
Practice address
1415 RIVER AVE STE B, CUMBERLAND, MD 21502-4629
(240) 362-7017
Mailing address
11 S MILL ST, NEW CASTLE, PA 16101-3680
(724) 698-2135
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
1223P0300X
Periodontics
—
—
Other
Enumeration date
10/31/2022
Last updated
12/14/2023
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