Organization
PROFESSIONAL DENTAL ALLIANCE OF TENNESSEE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA QUINTEROS (CREDENTIALING SPECIALIST)
(724) 901-1964
Entity
Organization
Contact information
Practice address
4972 HIGHWAY 58 STE 114, CHATTANOOGA, TN 37416-1868
(423) 894-5223
Mailing address
125 ENTERPRISE DR STE 200, PITTSBURGH, PA 15275-1223
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/22/2019
Last updated
01/15/2025
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