Organization
ALLIANCE DENTAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRITTANY KAY DELLAGATTA (OFFICE)
(330) 206-7731
Entity
Organization
Contact information
Practice address
2047 S ROCKHILL AVE, ALLIANCE, OH 44601-4708
(330) 821-3732
(330) 821-3735
Mailing address
2047 S ROCKHILL AVE, ALLIANCE, OH 44601-4708
(330) 821-3732
(330) 821-3735
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
30020279
OH
1223G0001X
General Practice Dentistry
Primary
30020359
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0231001
—
OH
05
—
0329577
—
OH
Enumeration date
10/19/2009
Last updated
10/19/2009
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