| Professional Dental Alliance Of Warren, Llc | |
|
4329 Mahoning Ave Nw Ste B Warren OH 44483-1974 | |
| (330) 847-7373 | |
| Not Available |
| Full Name | Professional Dental Alliance Of Warren, Llc |
|---|---|
| Speciality | Dentist |
| Location | 4329 Mahoning Ave Nw Ste B, Warren, Ohio |
| Authorized Official Name and Position | Amanda Kurtz (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7246982946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Dental Alliance Of Warren, Llc 125 Enterprise Dr Ste 200 Pittsburgh PA 15275-1223 Ph: () - | Professional Dental Alliance Of Warren, Llc 4329 Mahoning Ave Nw Ste B Warren OH 44483-1974 Ph: (330) 847-7373 |
| NPI Number | 1922561919 |
|---|---|
| Provider Enumeration Date | 04/08/2019 |
| Last Update Date | 07/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922561919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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