Organization
PROFESSIONAL DENTAL ALLIANCE, LLC
Active
Other names
Refresh Dental Baldwin
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW MATTA (OWNER)
(724) 698-2500
Entity
Organization
Contact information
Practice address
4730 CLAIRTON BLVD, PITTSBURGH, PA 15236-2159
(412) 882-2075
Mailing address
11 S MILL ST, SUITE 200, NEW CASTLE, PA 16101-3613
(724) 698-2500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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