| NPI | 1275673410 |
|---|---|
| Doing Business As | PLAZA DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DALE RUSSELL PARRY President 805-653-0620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |