| NPI | 1275084501 |
|---|---|
| Doing Business As | PLAZA DENTAL |
| Entity Type | Organization |
| Authorized Contact | TIM WILDUNG Owner 480-634-4803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D009244) |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-10-21 |