Professional Dental Alliance of Lake Washington, PLLC
Professional Dental Alliance of Lake Washington, PLLC provides General Practice Dentistry in Melbourne, Florida. Registered with an NPI since 2018.
- In the registry since
- 2018
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3226 Lake Washington Rd Ste 16Melbourne, FL 32934-7620
Phone: (321) 255-1991
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X |
|---|
Record details
| NPI number | 1558840371 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Annette Marlow — Credentialing Supervisor · (724) 698-2119 |
| Other names | New Image Dentistry Lake Washington |
| NPI enumerated | August 13, 2018 |
| Last updated in NPPES | August 13, 2018 |
| Mailing address | 11 S Mill St Ste 200, New Castle, PA 16101-3680 |
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