| Pda Of Michigan Non-par, Pllc | |
|
11 S Mill St Ste 200 New Castle PA 16101-3680 | |
| (724) 698-2500 | |
| Not Available |
| Full Name | Pda Of Michigan Non-par, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 11 S Mill St Ste 200, New Castle, Pennsylvania |
| Authorized Official Name and Position | Annette Marlow (CREDENTIALING SUPERVISOR) |
| Authorized Official Contact | 7246982119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pda Of Michigan Non-par, Pllc 11 S Mill St Ste 200 New Castle PA 16101-3680 Ph: (724) 698-2500 | Pda Of Michigan Non-par, Pllc 11 S Mill St Ste 200 New Castle PA 16101-3680 Ph: (724) 698-2500 |
| NPI Number | 1942712153 |
|---|---|
| Provider Enumeration Date | 10/27/2017 |
| Last Update Date | 10/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942712153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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