| NPI | 1114553468 |
|---|---|
| Doing Business As | PLAZA 125 DENTAL |
| Entity Type | Organization |
| Authorized Contact | LEANNE SYPE Administration 503-544-7091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2020-03-19 |