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Organization

PROFESSIONAL DENTAL ALLIANCE OF COLCHESTER, PLLC

Active
Other names
Life Long Dental Care of Colchester
Organization subpart
No

Provider details

NPI number
Authorized official
ANDREW MATTA DMD (CMO/OWNER)
(724) 698-2500
Entity
Organization

Contact information

Practice address
151 BROADWAY ST, COLCHESTER, CT 06415-1056
(860) 537-1444
Mailing address
11 S MILL ST STE 200, NEW CASTLE, PA 16101-3680
(724) 698-2500
(724) 652-4619

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
05/21/2018
Last updated
05/21/2018
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