Organization
PROFESSIONAL DENTAL ALLIANCE OF WARREN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA KURTZ (CREDENTIALING SPECIALIST)
(724) 698-2946
Entity
Organization
Contact information
Practice address
4329 MAHONING AVE NW STE B, WARREN, OH 44483-1974
(330) 847-7373
Mailing address
125 ENTERPRISE DR STE 200, PITTSBURGH, PA 15275-1223
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/08/2019
Last updated
07/03/2024
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