Organization
PROFESSIONAL DENTAL ALLIANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA L KURTZ (CREDENTIALING)
(724) 698-2946
Entity
Organization
Contact information
Practice address
7043 PEARL RD, MIDDLEBURG HEIGHTS, OH 44130-4973
(330) 533-3400
(330) 533-2700
Mailing address
125 ENTERPRISE DR STE 200, PITTSBURGH, PA 15275-1223
(724) 698-2500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30022469
OH
Other
Enumeration date
12/27/2010
Last updated
09/06/2023
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