| Professional Dental Alliance Of Mi - Lmtd, Pllc | |
|
27891 23 Mile Rd. Chesterfield MI 48051 | |
| (856) 840-8050 | |
| (586) 690-4470 |
| Full Name | Professional Dental Alliance Of Mi - Lmtd, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 27891 23 Mile Rd., Chesterfield, Michigan |
| Authorized Official Name and Position | Erica Quinteros (CREDENTIALING) |
| Authorized Official Contact | 7249011964 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Dental Alliance Of Mi - Lmtd, Pllc 125 Enterprise Dr Ste 200 Pittsburgh PA 15275-1223 Ph: (726) 901-1964 | Professional Dental Alliance Of Mi - Lmtd, Pllc 27891 23 Mile Rd. Chesterfield MI 48051 Ph: (856) 840-8050 |
| NPI Number | 1447962055 |
|---|---|
| Provider Enumeration Date | 12/15/2022 |
| Last Update Date | 08/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447962055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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