Professional Dental Alliance
General Practice Dentistry in Shaker Heights, OH(View on Map)
Legal Business Name
Professional Dental Alliance
NPI Number
1891090064
NPI Type
Organization
Enumeration Date
01/20/2011
Specialties
(Taxonomies)Licenses
State
Ohio
License Number
30022469
Contact
Information
Purpose
Mailing
Location
Address
3800 BOARDMAN CANFIELD RD
3729 LEE RD
City
Canfield
Shaker Heights
State
OH
OH
Postal Code
44406-9029
44120-5103
Country
US
US
Telephone Number
(330) 533-3400
(216) 751-9922
Authorized Official
Name
Andrew Matta
Title or Position
MEMBER
Telephone Number
(330) 533-3400
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 01/20/2011
Provider Address
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