Organization
PROFESSIONAL DENTAL ALLIANCE OF NEWARK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA KURTZ (LEAD CREDENTIALING SPECIALIST)
(724) 698-2946
Entity
Organization
Contact information
Practice address
233 N 21ST ST, NEWARK, OH 43055-4232
(877) 959-5405
Mailing address
125 ENTERPRISE DR STE 200, PITTSBURGH, PA 15275-1223
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/11/2019
Last updated
03/04/2024
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