| NPI | 1215602081 |
|---|---|
| Doing Business As | PLAZA DENTAL |
| Entity Type | Organization |
| Authorized Contact | DAVID FARIVAR Managing Member 310-849-7704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2021-08-12 |
| Last Update Date | 2021-08-12 |