| NPI | 1386801108 |
|---|---|
| Doing Business As | PLAZA DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | STEFFANY MOHAN Dentist/Business Owner 515-224-5999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IA 7835) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IA 7835) |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2020-10-02 |