Professional Dental Alliance Of Norwalk, Pllc | |
761 Main Ave Ste 111 Norwalk CT 06851-1080 | |
(203) 908-3170 | |
Not Available |
Full Name | Professional Dental Alliance Of Norwalk, Pllc |
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Speciality | Dentist - General Practice |
Location | 761 Main Ave Ste 111, Norwalk, Connecticut |
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 |
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Professional Dental Alliance Of Norwalk, Pllc 125 Enterprise Dr Ste 200 Pittsburgh PA 15275-1223 Ph: (914) 472-5252 | Professional Dental Alliance Of Norwalk, Pllc 761 Main Ave Ste 111 Norwalk CT 06851-1080 Ph: (203) 908-3170 |
NPI Number | 1013733583 |
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Provider Enumeration Date | 11/29/2024 |
Last Update Date | 11/29/2024 |
Identifier | Type | State | Issuer |
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1013733583 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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