| Pda Ortho Specialty | |
|
11 S Mill St Suite 200 New Castle PA 16101-3613 | |
| (330) 533-3400 | |
| (330) 533-2700 |
| Full Name | Pda Ortho Specialty |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 11 S Mill St, New Castle, Pennsylvania |
| Authorized Official Name and Position | Andrew Matta (CEO) |
| Authorized Official Contact | 3305333400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pda Ortho Specialty 11 S Mill St Suite 200 New Castle PA 16101-3613 Ph: (330) 533-3400 | Pda Ortho Specialty 11 S Mill St Suite 200 New Castle PA 16101-3613 Ph: (330) 533-3400 |
| NPI Number | 1588950661 |
|---|---|
| Provider Enumeration Date | 06/27/2011 |
| Last Update Date | 04/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588950661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (Ohio) | Primary |
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