Organization
PROFESSIONAL DENTAL ALLIANCE OF FARMINGTON, PLLC
Active
Other names
Stoneybrook Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA QUINTEROS (CREDENTIALING)
(724) 901-1964
Entity
Organization
Contact information
Practice address
23020 POWER RD, FARMINGTON, MI 48336-3247
(248) 476-0383
Mailing address
125 ENTERPRISE DR STE 200, PITTSBURGH, PA 15275-1223
(724) 698-2500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/27/2017
Last updated
04/08/2024
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