Organization

Professional Dental Alliance Of Warren, Llc

Dentist in Warren, OH(View on Map)

Legal Business Name

Professional Dental Alliance Of Warren, Llc

NPI Number

1922561919

NPI Type

Organization

Enumeration Date

04/08/2019

Specialties

(Taxonomies)

Name

Code

122300000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

125 ENTERPRISE DR STE 200
4329 MAHONING AVE NW STE B

City

Pittsburgh
Warren

State

PA
OH

Postal Code

15275-1223
44483-1974

Country

US
US

Telephone Number

N/A
(330) 847-7373

Authorized Official

Name

Amanda Kurtz

Title or Position

CREDENTIALING SPECIALIST

Telephone Number

(724) 698-2946

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/03/2024

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