Organization
PROFESSIONAL DENTAL ALLIANCE OF NORTHFORD, PLLC
Active
Other names
Life Long Dental Care of Northford
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW MATTA DMD (CMO/OWNER)
(724) 698-2500
Entity
Organization
Contact information
Practice address
1355 MIDDLETOWN AVE, NORTHFORD, CT 06472-1382
(203) 484-0456
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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